Basic Information
Provider Information
NPI: 1760547517
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ROJAS
FirstName: JOSEPH
MiddleName: AUGUSTINE
NamePrefix: DR.
NameSuffix: II
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8906 SPANISH RIDGE AVE STE 202
Address2:  
City: LAS VEGAS
State: NV
PostalCode: 891481319
CountryCode: US
TelephoneNumber: 7023303102
FaxNumber: 7029124994
Practice Location
Address1: 9120 W POST RD STE 200
Address2:  
City: LAS VEGAS
State: NV
PostalCode: 891482427
CountryCode: US
TelephoneNumber: 7028702229
FaxNumber: 7028700515
Other Information
ProviderEnumerationDate: 12/22/2006
LastUpdateDate: 11/14/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/14/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X6005NVY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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