Renny De la Caridad Mesa Rivero

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11016707 Issued in FL

Practice address

2695 S Le Jeune Rd Ste 300
Coral Gables, FL 33134-5840

Phone

(305) 446-0330

Fax

(305) 446-5079

NPI assigned

Feb 22, 2022

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15805/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• South Dade Primary Care, LLC

  • Family Medicine Physician
  • Miami, FL
  • NPI 1285748285
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1083360630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1048 SE 24TH AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330352140",
            "telephone_number": "786-368-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2695 S LE JEUNE RD STE 300",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345840",
            "telephone_number": "305-446-0330",
            "fax_number": "305-446-5079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESA RIVERO",
        "first_name": "RENNY",
        "middle_name": "DE LA CARIDAD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-22",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11016707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabel Y Merida Fuentes, APRN
• Meridian Pain and Diagnostics
• Genesis Merino
• Anne B. Merwin, M.D.
• Frank a. Mesa Cabrera, APRN
• Esther Palmer Mesa, LMT
• Kire Mesa, MM
• Mercedes Mesa, APRN
• Reinaldo Mesa, MS
• Tessie Mestre

• Family Nurse Practitioner in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.