Provider Demographics
NPI:1093927089
Name:ROJAS, PAULINA ELENA (MD)
Entity type:Individual
Prefix:
First Name:PAULINA
Middle Name:ELENA
Last Name:ROJAS
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:PAULINA
Other - Middle Name:ELENA
Other - Last Name:ROJAS NOACK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7345 WATSON RD STE 103
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63119-9804
Mailing Address - Country:US
Mailing Address - Phone:314-633-8670
Mailing Address - Fax:314-633-8675
Practice Address - Street 1:7345 WATSON RD STE 103
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63119-9804
Practice Address - Country:US
Practice Address - Phone:314-633-8670
Practice Address - Fax:314-633-8675
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-6457208000000X, 208000000X
MO2022018015208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1455616Medicaid
LA4K524Medicare PIN
LA1455616Medicaid
AR5AC56Medicare PIN