Provider Demographics
NPI:1801042635
Name:MOLINARES-SOSA, ALEXANDRA MARIA (MD, CME)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:MARIA
Last Name:MOLINARES-SOSA
Suffix:
Gender:F
Credentials:MD, CME
Other - Prefix:
Other - First Name:ALEXANDRA
Other - Middle Name:MARIA
Other - Last Name:MOLINARES-LOGRONO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2311 CYPRESS COVE SUITE 101
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-6790
Mailing Address - Country:US
Mailing Address - Phone:813-994-5039
Mailing Address - Fax:813-994-5098
Practice Address - Street 1:2311 CYPRESS COVE SUITE 101
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544
Practice Address - Country:US
Practice Address - Phone:813-994-5039
Practice Address - Fax:813-994-5098
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-12
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME110182207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL003910400Medicaid