Provider Demographics
NPI:1982663787
Name:ROJAS, GERARDO A (MD)
Entity Type:Individual
Prefix:DR
First Name:GERARDO
Middle Name:A
Last Name:ROJAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8751 COMMODITY CIR STE 15
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-9027
Mailing Address - Country:US
Mailing Address - Phone:407-517-4827
Mailing Address - Fax:407-574-3260
Practice Address - Street 1:8751 COMMODITY CIR STE 15
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-9027
Practice Address - Country:US
Practice Address - Phone:407-517-4827
Practice Address - Fax:407-574-3260
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-21
Last Update Date:2019-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME90358207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL273570900Medicaid
FL48181AMedicare ID - Type Unspecified
FL273570900Medicaid