Provider Demographics
NPI:1699069039
Name:ROJAS-SANCHEZ, TERESA C (MD)
Entity type:Individual
Prefix:DR
First Name:TERESA
Middle Name:C
Last Name:ROJAS-SANCHEZ
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 1:216 FREDERICK ST
Mailing Address - Street 2:
Mailing Address - City:PIERSON
Mailing Address - State:FL
Mailing Address - Zip Code:32180-3024
Mailing Address - Country:US
Mailing Address - Phone:786-972-2926
Mailing Address - Fax:386-749-9449
Practice Address - Street 1:216 FREDERICK ST
Practice Address - Street 2:
Practice Address - City:PIERSON
Practice Address - State:FL
Practice Address - Zip Code:32180-3024
Practice Address - Country:US
Practice Address - Phone:786-972-2926
Practice Address - Fax:386-749-9449
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-02
Last Update Date:2015-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME120390208000000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME120390OtherMEDICAL LICENSE
FL01221280Medicaid