Provider Demographics
NPI:1235158734
Name:CONTRERAS, CARLOS S (MD)
Entity Type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:S
Last Name:CONTRERAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 558927
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33255-8927
Mailing Address - Country:US
Mailing Address - Phone:561-655-3955
Mailing Address - Fax:561-655-3953
Practice Address - Street 1:1515 N FLAGLER DR
Practice Address - Street 2:SUITE 100
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-3428
Practice Address - Country:US
Practice Address - Phone:561-655-3955
Practice Address - Fax:561-655-3953
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0043908207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME0043908OtherSTATE LICENSE NUMBER
FL03813Medicare UPIN
FLME0043908OtherSTATE LICENSE NUMBER