Provider Demographics
NPI:1093122277
Name:LOESCHER, VIKY SUNCION (MD)
Entity Type:Individual
Prefix:DR
First Name:VIKY
Middle Name:SUNCION
Last Name:LOESCHER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:VIKY
Other - Middle Name:YANINA
Other - Last Name:SUNCION
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3119 FILLMORE ST
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-7025
Mailing Address - Country:US
Mailing Address - Phone:305-319-2727
Mailing Address - Fax:305-585-8137
Practice Address - Street 1:4300 ALTON RD
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2948
Practice Address - Country:US
Practice Address - Phone:305-535-7901
Practice Address - Fax:305-674-2787
Is Sole Proprietor?:No
Enumeration Date:2014-07-19
Last Update Date:2020-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1340952085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology