Provider Demographics
NPI:1023266178
Name:MANUEL, MAURICIO ROJAS JR (PA-C)
Entity type:Individual
Prefix:MR
First Name:MAURICIO
Middle Name:ROJAS
Last Name:MANUEL
Suffix:JR
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:JOEL
Other - Middle Name:
Other - Last Name:MANUEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:55 KENSINGTON PKWY
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:MD
Mailing Address - Zip Code:21009-1851
Mailing Address - Country:US
Mailing Address - Phone:410-569-5162
Mailing Address - Fax:410-569-1008
Practice Address - Street 1:55 KENSINGTON PKWY
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:MD
Practice Address - Zip Code:21009-1851
Practice Address - Country:US
Practice Address - Phone:410-569-5162
Practice Address - Fax:410-569-1008
Is Sole Proprietor?:No
Enumeration Date:2008-09-03
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDCOO02075363AM0700X
MDC0002075363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant