Healthcare Provider Details

I. General information

NPI: 1164466892
Provider Name (Legal Business Name): CESAR IGOR MESIA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2006
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1611 NW 12TH AVE
MIAMI FL
33136-1005
US

IV. Provider business mailing address

5425 LANARK RD STE 200
CENTER VALLEY PA
18034-8697
US

V. Phone/Fax

Practice location:
  • Phone: 305-585-6683
  • Fax:
Mailing address:
  • Phone: 484-658-5437
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License Number67307
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License NumberMD425362
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License NumberME179706
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: