| Renny De La Caridad Mesa Rivero, | |
|
2695 S Le Jeune Rd Ste 300, Coral Gables, FL 33134-5840 | |
| (305) 446-0330 | |
| (305) 446-5079 |
| Full Name | Renny De La Caridad Mesa Rivero |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 2695 S Le Jeune Rd Ste 300, Coral Gables, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083360630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 11016707 (Florida) | Primary |
| Entity Name | South Dade Primary Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285748285 PECOS PAC ID: 6002835360 Enrollment ID: O20051116000041 |
| Entity Name | Cano Health, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689901688 PECOS PAC ID: 1759565047 Enrollment ID: O20110411000829 |
| Mailing Address | Practice Location Address |
|---|---|
| Renny De La Caridad Mesa Rivero, 1048 Se 24th Ave, Homestead, FL 33035-2140 Ph: (786) 368-8121 | Renny De La Caridad Mesa Rivero, 2695 S Le Jeune Rd Ste 300, Coral Gables, FL 33134-5840 Ph: (305) 446-0330 |
Mayvi Quinones, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5555 Ponce De Leon Blvd Ste 115, Coral Gables, FL 33146 Phone: 305-689-0290 Fax: 305-689-0927 | |
Marissa Tunon Piotrowski, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 330 San Lorenzo Ave, Suite 2345, Coral Gables, FL 33146 Phone: 305-507-3461 | |
Juliette Morales, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5000 University Dr, Coral Gables, FL 33146 Phone: 786-308-3000 | |
Catherine Gener, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5555 Ponce De Leon Blvd, Coral Gables, FL 33146 Phone: 305-555-5555 | |
Holly Howard, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5955 Ponce De Leon Blvd, Coral Gables, FL 33146 Phone: 305-661-1515 Fax: 305-662-3723 | |
Dalia Catalan Monte, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3971 Sw 8th St Ste 209, Coral Gables, FL 33134 Phone: 786-445-3993 | |
Mrs. Michelle Lakeman Chavoustie, AGAC-NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5000 University Dr, Coral Gables, FL 33146 Phone: 786-308-3000 |