Healthcare Provider Details

I. General information

NPI: 1851250575
Provider Name (Legal Business Name): ALEXANDER JAMES MOTOLANEZ
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: JUAN CARLOS ABANSES MD

II. Dates (important events)

Enumeration Date: 01/19/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2502 WEST SAINT ISABEL STREET
TAMPA FL
33607
US

IV. Provider business mailing address

18331 PINES BLVD # 1133
PEMBROKE PINES FL
33029-1421
US

V. Phone/Fax

Practice location:
  • Phone: 754-329-7172
  • Fax: 202-851-7761
Mailing address:
  • Phone: 754-329-7172
  • Fax: 202-851-7761

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberME114914
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: