Basic Information
| Provider Information | |||||||||
| NPI: | 1972874410 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RODRIGUEZ CONTRERAS | ||||||||
| FirstName: | MARIA | ||||||||
| MiddleName: | ALEJANDRA | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4440 FRUITVILLE RD | ||||||||
| Address2: | |||||||||
| City: | SARASOTA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 342321926 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9413660134 | ||||||||
| FaxNumber: | 9414041760 | ||||||||
| Practice Location | |||||||||
| Address1: | 1001 MONTICELLO AVE STE 100 | ||||||||
| Address2: | |||||||||
| City: | NORFOLK | ||||||||
| State: | VA | ||||||||
| PostalCode: | 235102564 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7573465770 | ||||||||
| FaxNumber: | 8662920928 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/14/2012 | ||||||||
| LastUpdateDate: | 10/22/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 0101255557 | VA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RI0200X | 0101255557 | VA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Infectious Disease |
No ID Information.