Provider Demographics
NPI:1275561680
Name:LLOBET, JAIME P (MD)
Entity Type:Individual
Prefix:
First Name:JAIME
Middle Name:P
Last Name:LLOBET
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:JAIME
Other - Middle Name:P
Other - Last Name:LLOBET
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:590 LORETTO AVE
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-2102
Mailing Address - Country:US
Mailing Address - Phone:305-271-4455
Mailing Address - Fax:305-271-6890
Practice Address - Street 1:7101 SW 99TH AVE
Practice Address - Street 2:SUITE 109
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-4661
Practice Address - Country:US
Practice Address - Phone:305-271-4455
Practice Address - Fax:305-271-6890
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-28
Last Update Date:2016-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL20346207RC0000X
FLME20346207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL053905800Medicaid
91901Medicare ID - Type Unspecified
D59856Medicare UPIN