MEDICARE: JUAN MERAYO-RODRIGUEZ M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZB0001X	Blood Banking & Transfusion Medicine Physician	ME111999	FL
2	207ZB0001X	Blood Banking & Transfusion Medicine Physician	MD.32033	AL
3	207ZB0001X	Blood Banking & Transfusion Medicine Physician	69039	GA
4	207ZB0001X	Blood Banking & Transfusion Medicine Physician	MT192408	PA

General Provider Information

NPI Number	:	1528228988
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUAN MERAYO-RODRIGUEZ M.D.

Provider Business Mailing Address
First Line	:	4039 W NEWBERRY RD
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32607-2342
Country	:	US
Telephone Number	:	352-224-1747
Fax Number	:	888-286-0179

Provider Business Practice Location Address
First Line	:	4039 W NEWBERRY RD
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32607-2342
Country	:	US
Telephone Number	:	352-224-1747
Fax Number	:	888-286-0179

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2008
Last Update Date	:	04/11/2024

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