Individual provider Active NPI

Angel Loyola, MD

  • Psychiatry Physician
  • Humacao, PR
National Provider Identifier
1316089733
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
11195 Issued in PR
Practice address
65 Calle Carreras E
Humacao, PR 00791-4261
Phone
(787) 852-3787
NPI assigned
Feb 13, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 11195 PR Primary

Addresses

Primary practice location

65 Calle Carreras E
Humacao, PR 00791-4261

Mailing address

Gavilanes N 21
Tierra Alta II
Guaynabo, PR 00969-3239
Phone (787) 852-3787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060419000623 PR Practitioner - Psychiatry 1254340227 Practice locations: Humacao, PR

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

65 Calle Carreras
Humacao, PR 00791-0001
Phone (787) 852-3787

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11195PRMDPsychiatry Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316089733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GAVILANES N 21",
            "address_2": "TIERRA ALTA II",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009693239",
            "telephone_number": "787-852-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 CALLE CARRERAS E",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007914261",
            "telephone_number": "787-852-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOYOLA",
        "first_name": "ANGEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "11195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

Verify at the official NPI Registry.