Provider Demographics
NPI:1144286915
Name:MERAYO, HUBERTO E (MD)
Entity type:Individual
Prefix:DR
First Name:HUBERTO
Middle Name:E
Last Name:MERAYO
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 1:3860 SW 8TH ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-3011
Mailing Address - Country:US
Mailing Address - Phone:305-444-6406
Mailing Address - Fax:305-442-0447
Practice Address - Street 1:3860 SW 8TH ST
Practice Address - Street 2:SUITE 300
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-3011
Practice Address - Country:US
Practice Address - Phone:305-444-6406
Practice Address - Fax:305-442-0447
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-21
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME38613174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL373831100Medicaid
FL068663800Medicaid
FL373831100Medicaid
FL39776Medicare ID - Type Unspecified
FL068663800Medicaid