Provider Demographics
NPI:1588971485
Name:GELY ROJAS, LETICIA (MD)
Entity type:Individual
Prefix:
First Name:LETICIA
Middle Name:
Last Name:GELY 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:PO BOX 533
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-0533
Mailing Address - Country:US
Mailing Address - Phone:787-226-3257
Mailing Address - Fax:
Practice Address - Street 1:165 AVE HOSTOS APT 323
Practice Address - Street 2:COND MONTE NORTE
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-4244
Practice Address - Country:US
Practice Address - Phone:787-226-3257
Practice Address - Fax:787-296-4233
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-13
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR29218-R208000000X
PR207582080N0001X
PR12772-I208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine