Provider Demographics
NPI:1811692023
Name:ROJAS, WENDY D (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:D
Last Name:ROJAS
Suffix:
Gender:F
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3200 SW 60TH CT STE 203
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-4070
Mailing Address - Country:US
Mailing Address - Phone:305-662-8380
Mailing Address - Fax:866-832-5324
Practice Address - Street 1:3200 SW 60TH CT STE 203
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-4070
Practice Address - Country:US
Practice Address - Phone:305-662-8380
Practice Address - Fax:866-832-5324
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-05
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9117278363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant