Provider Demographics
NPI:1427864768
Name:ROJAS, RAQUEL (RMFTI)
Entity type:Individual
Prefix:MISS
First Name:RAQUEL
Middle Name:
Last Name:ROJAS
Suffix:
Gender:F
Credentials:RMFTI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 SW PALM DR APT 104
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34986-1900
Mailing Address - Country:US
Mailing Address - Phone:818-203-9180
Mailing Address - Fax:
Practice Address - Street 1:181 SW PALM DR APT 104
Practice Address - Street 2:
Practice Address - City:PORT SAINT LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34986-1900
Practice Address - Country:US
Practice Address - Phone:818-203-9180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-10
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist