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:
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Health care specialties

SpecialtyCodeLicense #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 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528066941 NPPES
Florida MEDICAID 068483000

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