Provider Demographics
NPI:1497940811
Name:ROJAS ORTIZ, YOEL ANTONIO (MD)
Entity type:Individual
Prefix:DR
First Name:YOEL
Middle Name:ANTONIO
Last Name:ROJAS ORTIZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:YOEL
Other - Middle Name:ANTONIO
Other - Last Name:ROJAS ORTIZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:21318 UNION TPKE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11364-3522
Mailing Address - Country:US
Mailing Address - Phone:516-833-0309
Mailing Address - Fax:718-465-9792
Practice Address - Street 1:21318 UNION TPKE
Practice Address - Street 2:
Practice Address - City:OAKLAND GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11364-3522
Practice Address - Country:US
Practice Address - Phone:516-833-0309
Practice Address - Fax:718-465-9792
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-10
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY271900208200000X, 282N00000X, 282N00000X, 208200000X
NYP83795282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No282N00000XHospitalsGeneral Acute Care Hospital