Provider Demographics
NPI:1437265279
Name:CONTRERAS, RAFAEL M (MD)
Entity Type:Individual
Prefix:DR
First Name:RAFAEL
Middle Name:M
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 1:300 PINELLAS ST
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33756-3804
Mailing Address - Country:US
Mailing Address - Phone:727-462-7907
Mailing Address - Fax:727-462-7904
Practice Address - Street 1:300 PINELLAS ST
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-3804
Practice Address - Country:US
Practice Address - Phone:727-462-7907
Practice Address - Fax:727-462-7904
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00024822207R00000X
FLME106476207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL123891Medicaid
P00990325OtherMEDICARE RAILROAD
AL127808Medicaid
AL51513157OtherBLUE CROSS
AL51116108OtherBLUE CROSS/BLUE SHIELD OF ALABAMA
AL51110920OtherBLUE CROSS/BLUE SHIELD OF ALABAMA
AL630500059Medicaid
ALP00889294OtherMEDICARE RAILROAD
AL127808Medicaid
AL630500059Medicaid
AL123891Medicaid
102I113564Medicare PIN