Provider Demographics
NPI:1174626410
Name:ROJAS, ROLANDO JOSE (MD)
Entity type:Individual
Prefix:
First Name:ROLANDO
Middle Name:JOSE
Last Name:ROJAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 RED MILLS RD.
Mailing Address - Street 2:
Mailing Address - City:WALLKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12589-3223
Mailing Address - Country:US
Mailing Address - Phone:845-744-1908
Mailing Address - Fax:845-744-1900
Practice Address - Street 1:150 ROUTE 52
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:NY
Practice Address - Zip Code:10512-1200
Practice Address - Country:US
Practice Address - Phone:845-228-2910
Practice Address - Fax:845-228-2914
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2012-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY182428207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000NK24Medicare ID - Type Unspecified
NYD67674Medicare UPIN