MEDICARE: MISS VIRGINIA CONTRERAS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	ME172458	FL
2	2084P0800X	Psychiatry Physician	227070	NY

General Provider Information

NPI Number	:	1477614295
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS VIRGINIA CONTRERAS MD

Provider Business Mailing Address
First Line	:	15553 SW 16TH ST
Second Line	:
City	:	WESTON
State	:	FL
Zip	:	33326-5029
Country	:	US
Telephone Number	:	954-872-0555
Fax Number	:	954-256-6047

Provider Business Practice Location Address
First Line	:	15553 SW 16TH ST
Second Line	:
City	:	WESTON
State	:	FL
Zip	:	33326-5029
Country	:	US
Telephone Number	:	954-872-0555
Fax Number	:	954-256-6047

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2006
Last Update Date	:	05/14/2026

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