Provider Demographics
NPI:1770508871
Name:LOERA, FELIPE ERNESTO (MD)
Entity type:Individual
Prefix:DR
First Name:FELIPE
Middle Name:ERNESTO
Last Name:LOERA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:177 N US HIGHWAY 1 # 175
Mailing Address - Street 2:
Mailing Address - City:TEQUESTA
Mailing Address - State:FL
Mailing Address - Zip Code:33469-2746
Mailing Address - Country:US
Mailing Address - Phone:832-674-3473
Mailing Address - Fax:
Practice Address - Street 1:140 JUPITER LAKES BLVD STE A
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-7196
Practice Address - Country:US
Practice Address - Phone:832-674-3473
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR5284207P00000X
CAA81193207P00000X
FLME95047207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A811930Medicaid
CA00A811930Medicaid
CAI27499Medicare UPIN