Provider Demographics
NPI:1821063322
Name:LLOBET, PASTOR RAMON (MD)
Entity Type:Individual
Prefix:
First Name:PASTOR
Middle Name:RAMON
Last Name:LLOBET
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4320 FIR ST
Mailing Address - Street 2:STE 320
Mailing Address - City:EAST CHICAGO
Mailing Address - State:IN
Mailing Address - Zip Code:46312-3076
Mailing Address - Country:US
Mailing Address - Phone:219-554-4080
Mailing Address - Fax:219-554-4085
Practice Address - Street 1:7217 INDIANAPOLIS BLVD
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:IN
Practice Address - Zip Code:46324-2213
Practice Address - Country:US
Practice Address - Phone:219-299-4680
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-20
Last Update Date:2020-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01038128A207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100356650AMedicaid
IN100356650AMedicaid
INE21760Medicare UPIN
IN409080AMedicare PIN