Basic Information
Provider Information
NPI: 1538515978
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ROJAS
FirstName: ANDRES
MiddleName: FELIPE
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 11833 FITCHWOOD CIR
Address2:  
City: JACKSONVILLE
State: FL
PostalCode: 322584506
CountryCode: US
TelephoneNumber: 9043053488
FaxNumber:  
Practice Location
Address1: N2198 UNC HOSPITALS
Address2: CB# 7010
City: CHAPEL HILL
State: NC
PostalCode: 275997010
CountryCode: US
TelephoneNumber: 9199665136
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/04/2016
LastUpdateDate: 05/04/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X218049NCY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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