Individual
JAVIER LOEZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1350 HICKORY ST, MELBOURNE, FL 32901-3224
(321) 434-1771
(321) 434-1775
Mailing address
1208 RIVER DR APT 401, MELBOURNE, FL 32901-7370
(305) 807-0287
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01087885A
IN
207R00000X
Internal Medicine Physician
2023046849
MO
208M00000X
Hospitalist Physician
Primary
01087885A
IN
208M00000X
Hospitalist Physician
2023046849
MO
208M00000X
Hospitalist Physician
MD-22216
HI
208M00000X
Hospitalist Physician
ME145774
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
MEDICARE HF
FL
05
—
PENDING
—
FL
Enumeration date
05/01/2017
Last updated
03/14/2025
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