Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 299938 | NY |
N | 207RC0000X | Internist - Cardiovascular Disease | 299938 | NY |
NPI | 1710234547 |
---|---|
Provider Name | Geurys Rafael Rojas Marte |
First Address | Staten Island, NY 10305-3400 |
Second Address | Staten Island, NY 10305-3400 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2012 |
Last Update Date | 27/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
25MA10023200 | MEDICAL LICENSE (01) | NJ |
299938 | NY STATE DEPARTMENT OF EDUCATION (01) | NY |