Provider Demographics
NPI:1295258598
Name:ROJAS PEREZ, FANNY
Entity type:Individual
Prefix:
First Name:FANNY
Middle Name:
Last Name:ROJAS PEREZ
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 1:334 E 62ND ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33013-1036
Mailing Address - Country:US
Mailing Address - Phone:786-908-4279
Mailing Address - Fax:
Practice Address - Street 1:334 E 62ND ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33013-1036
Practice Address - Country:US
Practice Address - Phone:786-908-4279
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-19
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician