Provider Demographics
NPI:1104872332
Name:LINARES-MERA, REINERIO (MD)
Entity type:Individual
Prefix:
First Name:REINERIO
Middle Name:
Last Name:LINARES-MERA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:REINERIO
Other - Middle Name:
Other - Last Name:LINARES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:13654 W HILLSBOROUGH AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33635-9638
Mailing Address - Country:US
Mailing Address - Phone:813-818-8000
Mailing Address - Fax:813-818-8005
Practice Address - Street 1:13654 W HILLSBOROUGH AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33635-9638
Practice Address - Country:US
Practice Address - Phone:813-818-8000
Practice Address - Fax:813-818-8005
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME70678207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL379861500Medicaid
FL379861500Medicaid
FL31379BMedicare PIN