Juan J Derojas
Surgeon Vascular Surgeon
200 S River St
Plains
, Pennsylvania 18705-1143
Juan J Derojas
Surgeon Vascular Surgeon
200 S River St
Plains
, Pennsylvania 18705-1143
(570) 821-1108
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About
Features
Specialties
- Surgeon
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Juan J Derojas
- 200 S River St
- Plains, PA
- Zip : 18705-1143
- Fax : (570) 821-1108
- Phone : (570) 821-1100
Second Address
- Juan J Derojas
- 200 S River St
- Plains, PA
- Zip : 18705-1143
- Fax : (570) 821-1108
- Phone : (570) 821-1100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | MD025633E | PA |
| N | 208600000X | Surgeon | MD025633E | PA |
| Y | 2086S0129X | Vascular Surgeon | MD025633E | PA |
National Provider Identifier
| NPI | 1073581013 |
|---|---|
| Provider Name | Juan J Derojas |
| First Address | Plains, PA 18705-1143 |
| Second Address | Plains, PA 18705-1143 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/03/2006 |
| Last Update Date | 17/09/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1013872 | (05) | PA |
| C33253 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.