Provider Demographics
NPI:1861949745
Name:ROJAS MARTINEZ, HECTOR ANDRES
Entity type:Individual
Prefix:
First Name:HECTOR
Middle Name:ANDRES
Last Name:ROJAS MARTINEZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 PASEO DE LAS ORQUIDEAS
Mailing Address - Street 2:URB PRIMAVERA
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976-6077
Mailing Address - Country:US
Mailing Address - Phone:787-640-7886
Mailing Address - Fax:
Practice Address - Street 1:9131 PISCATAWAY RD STE 450
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-2543
Practice Address - Country:US
Practice Address - Phone:301-868-6700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-08
Last Update Date:2021-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR390200000X
MDD0092096207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Multi-Specialty