Provider Demographics
NPI:1912934753
Name:ROJAS, ANTONIO (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTONIO
Middle Name:
Last Name:ROJAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 635156
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-0001
Mailing Address - Country:US
Mailing Address - Phone:513-451-6871
Mailing Address - Fax:513-451-6876
Practice Address - Street 1:425 FARRELL CT
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45233-1677
Practice Address - Country:US
Practice Address - Phone:513-451-6871
Practice Address - Fax:513-451-4876
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2015-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35079719207R00000X
OH35.079719208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100088010Medicaid
IN200964390Medicaid
OH2289287Medicaid
OH2289287Medicaid
OH4053085Medicare PIN
OHH39404Medicare UPIN
OH4053083Medicare PIN