Provider Demographics
NPI:1982028254
Name:ROJAS, RAYLER YANDER (PTA)
Entity Type:Individual
Prefix:
First Name:RAYLER
Middle Name:YANDER
Last Name:ROJAS
Suffix:
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8040 NW 95TH STREET SUITE 223-224
Mailing Address - Street 2:
Mailing Address - City:HIALEAH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33016-2067
Mailing Address - Country:US
Mailing Address - Phone:941-587-9386
Mailing Address - Fax:
Practice Address - Street 1:2221 W 52ND ST APT 312
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-2067
Practice Address - Country:US
Practice Address - Phone:941-587-9386
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-07
Last Update Date:2017-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPTA24107225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant