Provider Demographics
NPI:1205098761
Name:ROJAS, SILVIA INES
Entity type:Individual
Prefix:
First Name:SILVIA
Middle Name:INES
Last Name:ROJAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4440 NW 107TH AVE APT 306
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-1883
Mailing Address - Country:US
Mailing Address - Phone:305-815-4689
Mailing Address - Fax:
Practice Address - Street 1:4420 NW 107TH AVE APT 206
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33178-1882
Practice Address - Country:US
Practice Address - Phone:305-815-4689
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-26
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 6233101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health