Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 236004 | NY |
NPI | 1003900606 |
---|---|
Provider Name | Juan Carlos Rojas |
First Address | White Plains, NY 10605-1238 |
Second Address | White Plains, NY 10605-1238 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 20/11/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0D2404 | HEALTHNET (01) | |
2550797 | UNITEDHEALTHCARE (01) | |
81N88 | BC/BS (01) | NY |
I46717 | (02) | NY |
P3631384 | OXFORD (01) |