Provider Demographics
NPI:1831354968
Name:ROJAS, IVIS BARBARA (BA)
Entity type:Individual
Prefix:MS
First Name:IVIS
Middle Name:BARBARA
Last Name:ROJAS
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21020 SW 124TH AVENUE RD
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-5752
Mailing Address - Country:US
Mailing Address - Phone:305-282-9129
Mailing Address - Fax:
Practice Address - Street 1:21020 SW 124TH AVENUE RD
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33177-5752
Practice Address - Country:US
Practice Address - Phone:305-282-9129
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-29
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist