Provider Demographics
NPI:1184254484
Name:BUENO GARCIA MERAS, MITZY MARGARITA (ARNP)
Entity type:Individual
Prefix:
First Name:MITZY
Middle Name:MARGARITA
Last Name:BUENO GARCIA MERAS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:481 W 46TH PL
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-3864
Mailing Address - Country:US
Mailing Address - Phone:786-326-4734
Mailing Address - Fax:
Practice Address - Street 1:481 W 46TH PL
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-3864
Practice Address - Country:US
Practice Address - Phone:786-326-4734
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-25
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11003850163W00000X, 363LG0600X
FLRN9431677163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No163W00000XNursing Service ProvidersRegistered Nurse