Provider Demographics
NPI:1457493157
Name:LOY, JUAN P (MD)
Entity Type:Individual
Prefix:DR
First Name:JUAN
Middle Name:P
Last Name:LOY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2964 N STATE RD 7
Mailing Address - Street 2:SUITE 210
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-5683
Mailing Address - Country:US
Mailing Address - Phone:954-984-0111
Mailing Address - Fax:954-984-0503
Practice Address - Street 1:2964 N STATE RD 7
Practice Address - Street 2:SUITE 210
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-5683
Practice Address - Country:US
Practice Address - Phone:954-984-0111
Practice Address - Fax:954-984-0503
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2009-10-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME0069104207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2664251OtherCIGNA
FL0472012OtherUNITED HEALTHCARE
FL371102100Medicaid
FL15586OtherAETNA
FL280218OtherAVMED
FL029697OtherNEIGHBORHOOD HEALTH PLAN
FL28354OtherBLUECROSS BLUESHIELD
FL28354YMedicare PIN
FL15586OtherAETNA