Provider Demographics
NPI:1427027291
Name:FOJO, ROBERTO JR (MD, MBA)
Entity type:Individual
Prefix:DR
First Name:ROBERTO
Middle Name:
Last Name:FOJO
Suffix:JR
Gender:M
Credentials:MD, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7150 W 20TH AVE STE 609
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-5534
Mailing Address - Country:US
Mailing Address - Phone:305-556-8353
Mailing Address - Fax:305-827-2415
Practice Address - Street 1:7150 W 20TH AVE STE 609
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-5534
Practice Address - Country:US
Practice Address - Phone:305-556-8353
Practice Address - Fax:305-827-2415
Is Sole Proprietor?:No
Enumeration Date:2006-03-15
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME35393207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL067003100Medicaid
FLD64249Medicare UPIN
FL95898AMedicare ID - Type Unspecified