Healthcare Provider Details

I. General information

NPI: 1295698058
Provider Name (Legal Business Name): CESAR JOSE CONTRERAS GARCIA SA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13629 SW 184TH TER
MIAMI FL
33177-6263
US

IV. Provider business mailing address

13629 SW 184TH TER
MIAMI FL
33177-6263
US

V. Phone/Fax

Practice location:
  • Phone: 305-338-8932
  • Fax:
Mailing address:
  • Phone: 305-338-8932
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number15-349
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: