Provider Demographics
NPI:1528681616
Name:MARTINEZ ROJAS, MARIA VIRGINIA (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:VIRGINIA
Last Name:MARTINEZ ROJAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 KEVSTIN DR
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34744-5843
Mailing Address - Country:US
Mailing Address - Phone:321-442-1214
Mailing Address - Fax:321-442-1215
Practice Address - Street 1:1300 KEVSTIN DR
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34744-5843
Practice Address - Country:US
Practice Address - Phone:321-442-1214
Practice Address - Fax:321-442-1215
Is Sole Proprietor?:No
Enumeration Date:2020-05-22
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME162017207Q00000X
IL125.076766390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program