Provider Demographics
NPI:1871665497
Name:LALOMA-SANCHEZ, JORGE ARTURO (MD)
Entity Type:Individual
Prefix:DR
First Name:JORGE
Middle Name:ARTURO
Last Name:LALOMA-SANCHEZ
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 1:1580 SANTA BARBARA BLVD
Mailing Address - Street 2:
Mailing Address - City:THE VILLAGES
Mailing Address - State:FL
Mailing Address - Zip Code:32159-6827
Mailing Address - Country:US
Mailing Address - Phone:352-259-2159
Mailing Address - Fax:352-259-5731
Practice Address - Street 1:21507 VILLAGE LAKES SHOPPING CTR DR
Practice Address - Street 2:
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34639-5101
Practice Address - Country:US
Practice Address - Phone:813-949-4224
Practice Address - Fax:813-949-2809
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0070886207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL251868600Medicaid
FL251868600Medicaid
FLG67728Medicare UPIN