Provider Demographics
NPI:1538807060
Name:CONTRERAS-ANEZ, DANIEL ALBERTO (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:ALBERTO
Last Name:CONTRERAS-ANEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2641 N FLAMINGO RD APT N2206
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33323-1735
Mailing Address - Country:US
Mailing Address - Phone:305-901-8182
Mailing Address - Fax:
Practice Address - Street 1:2641 N FLAMINGO RD APT N2206
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33323-1735
Practice Address - Country:US
Practice Address - Phone:305-901-8182
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-24
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHSE36251208600000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHSE36251OtherFLORIDA MEDICAL LICENSE