Provider Demographics
NPI:1689615023
Name:MERA, FERNANDO (MD)
Entity Type:Individual
Prefix:DR
First Name:FERNANDO
Middle Name:
Last Name:MERA
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 1:8500 SW 92ND ST
Mailing Address - Street 2:SUITE 208B
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-7390
Mailing Address - Country:US
Mailing Address - Phone:305-661-0169
Mailing Address - Fax:888-811-4447
Practice Address - Street 1:8500 SW 92ND ST
Practice Address - Street 2:SUITE 208B
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-7390
Practice Address - Country:US
Practice Address - Phone:305-661-0169
Practice Address - Fax:888-811-4447
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL93189207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL273792200Medicaid
FL273792200Medicaid
FLF96129Medicare UPIN