Provider Demographics
NPI:1013312156
Name:ROJO, MARTHA (MEDICAL DOCTOR)
Entity type:Individual
Prefix:DR
First Name:MARTHA
Middle Name:
Last Name:ROJO
Suffix:
Gender:F
Credentials:MEDICAL DOCTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7766 SW 193RD LN
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-7394
Mailing Address - Country:US
Mailing Address - Phone:305-915-1795
Mailing Address - Fax:
Practice Address - Street 1:7766 SW 193RD LN
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-7394
Practice Address - Country:US
Practice Address - Phone:305-915-1795
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-31
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR71494G163WP0808X
FL32096207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health