Provider Demographics
NPI:1497829857
Name:ROJAS, YAIRA (DMD)
Entity type:Individual
Prefix:DR
First Name:YAIRA
Middle Name:
Last Name:ROJAS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:443 CAMINO DE GUAJATACA
Mailing Address - Street 2:SABANERA
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-3637
Mailing Address - Country:US
Mailing Address - Phone:787-858-1057
Mailing Address - Fax:787-858-7964
Practice Address - Street 1:JOSE J. ACOSTA #80
Practice Address - Street 2:
Practice Address - City:VEGA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00693
Practice Address - Country:US
Practice Address - Phone:787-858-1057
Practice Address - Fax:787-858-7964
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2013-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR23261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice