Healthcare Provider Details

I. General information

NPI: 1972874410
Provider Name (Legal Business Name): MARIA ALEJANDRA RODRIGUEZ CONTRERAS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/14/2012
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12276 SAN JOSE BLVD
JACKSONVILLE FL
32223-8628
US

IV. Provider business mailing address

7901 4TH ST N STE 14102
ST PETERSBURG FL
33702-4305
US

V. Phone/Fax

Practice location:
  • Phone: 813-280-0124
  • Fax: 904-341-5249
Mailing address:
  • Phone: 813-280-0124
  • Fax: 904-341-5249

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number0101255557
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0101255557
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: