Provider Demographics
NPI:1346983806
Name:MERIDA ALVAREZ, OYANTAY (MD)
Entity type:Individual
Prefix:DR
First Name:OYANTAY
Middle Name:
Last Name:MERIDA ALVAREZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:OYANTAY
Other - Middle Name:
Other - Last Name:MERIDA ALVAREZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:14261 SW 120TH ST STE 112
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-7273
Mailing Address - Country:US
Mailing Address - Phone:305-378-1302
Mailing Address - Fax:
Practice Address - Street 1:14261 SW 120TH ST STE 112
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-7273
Practice Address - Country:US
Practice Address - Phone:305-378-1302
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-13
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME175207207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine