Provider Demographics
NPI:1699585620
Name:ROJAS TORRES, YAJAIRA (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:YAJAIRA
Middle Name:
Last Name:ROJAS TORRES
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5307 SANDPINE HAVEN LN
Mailing Address - Street 2:
Mailing Address - City:PORT ORANGE
Mailing Address - State:FL
Mailing Address - Zip Code:32128-7594
Mailing Address - Country:US
Mailing Address - Phone:352-895-0458
Mailing Address - Fax:
Practice Address - Street 1:5307 SANDPINE HAVEN LN
Practice Address - Street 2:
Practice Address - City:PORT ORANGE
Practice Address - State:FL
Practice Address - Zip Code:32128-7594
Practice Address - Country:US
Practice Address - Phone:352-895-0458
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-11
Last Update Date:2025-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11036798363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care