Provider Demographics
NPI:1801384227
Name:MERA, YVENA
Entity Type:Individual
Prefix:
First Name:YVENA
Middle Name:
Last Name:MERA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:YVENA
Other - Middle Name:
Other - Last Name:MERA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:353 BLUE HILLS PKWY
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:MA
Mailing Address - Zip Code:02186-2700
Mailing Address - Country:US
Mailing Address - Phone:617-980-5805
Mailing Address - Fax:
Practice Address - Street 1:353 BLUE HILLS PKWY
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:MA
Practice Address - Zip Code:02186-2700
Practice Address - Country:US
Practice Address - Phone:617-980-5805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-01
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No374U00000XNursing Service Related ProvidersHome Health Aide