Provider Demographics
NPI:1528228988
Name:MERAYO-RODRIGUEZ, JUAN (MD)
Entity Type:Individual
Prefix:
First Name:JUAN
Middle Name:
Last Name:MERAYO-RODRIGUEZ
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 1:4039 W NEWBERRY RD
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-2342
Mailing Address - Country:US
Mailing Address - Phone:352-224-1747
Mailing Address - Fax:888-286-0179
Practice Address - Street 1:4039 W NEWBERRY RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-2342
Practice Address - Country:US
Practice Address - Phone:352-224-1747
Practice Address - Fax:888-286-0179
Is Sole Proprietor?:No
Enumeration Date:2008-06-10
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME111999207ZB0001X
ALMD.32033207ZB0001X
GA69039207ZB0001X
PAMT192408207ZB0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZB0001XAllopathic & Osteopathic PhysiciansPathologyBlood Banking & Transfusion Medicine