Provider Demographics
NPI:1932198355
Name:CONTRERAS, ANA J (MD)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:J
Last Name:CONTRERAS
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:7800 SW 87TH AVE
Mailing Address - Street 2:SUITE C-350
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-2539
Mailing Address - Country:US
Mailing Address - Phone:954-731-9676
Mailing Address - Fax:954-731-9747
Practice Address - Street 1:18557 S DIXIE HWY
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-6845
Practice Address - Country:US
Practice Address - Phone:786-293-9000
Practice Address - Fax:305-238-1246
Is Sole Proprietor?:No
Enumeration Date:2005-10-18
Last Update Date:2015-07-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME57116208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL062466700Medicaid
FL062466700Medicaid