Loyola, Rene Mario
Loyola, Rene Mario is an individual health care provider with primary practice located at 1400 Se Goldtree Dr Suite 102-104, Port St Lucie FL 34952-7582. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Loyola, Rene Mario can be contacted via phone (772) 335-8446.Contact Information
Primary practice address
1400 Se Goldtree Dr Suite 102-104
Port St Lucie FL 34952-7582
Phone: (772) 335-8446
Fax: (772) 335-8499
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME0033328 | Florida |
Profile Details
| NPI number | 1528066941 |
|---|---|
| LBN Legal business name | Loyola, Rene Mario |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 9th, 2005 |
| Last updated | Mar 10th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528066941 | NPPES |
| Florida | MEDICAID | 068483000 |
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