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Contact Information

LOURDES LORETO MD PA
4710 N HABANA AVE
202
TAMPA, FL33614
 Phone: 813-877-3902
 Fax: 813-877-3807
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for LOURDES LORETO MD PA

NPI # 1013108984
LBN Legal business name LOURDES LORETO MD PA
Authorized official LOURDES LORETO - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 08/06/2007
Last updated 03/05/2008 - About 18 years ago
Identifiers
FL License # ME29045
FL Medicaid 057966100
FL Other 29972 BLUE CROSS BLUE SHIELD
FL Other 407112745 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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