Provider Demographics
NPI:1295772911
Name:LORA, JULIO C (MD)
Entity type:Individual
Prefix:
First Name:JULIO
Middle Name:C
Last Name:LORA
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9495 SW 72ND ST STE B180
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-5424
Mailing Address - Country:US
Mailing Address - Phone:305-274-5319
Mailing Address - Fax:305-274-5320
Practice Address - Street 1:9495 SW 72ND ST STE B180
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-5424
Practice Address - Country:US
Practice Address - Phone:305-274-5319
Practice Address - Fax:305-274-5320
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-01
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0045296207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL022586900Medicaid
FLD63972Medicare UPIN