Individual
JERRY LOYOLA CORRECES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0041131
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004314173
AETNA
MD
01
—
1020111784
CIGNA
MD
01
—
52-1831657
ALLIANCE
MD
01
—
521831657
US HEALTHCARE
MD
01
—
525876-02
CAREFIRST BC/BS
MD
05
—
763511700
—
MD
01
—
817926 OC1
OPTIMUM CHOICE
MD
01
—
817926MD2
MDIPA
MD
01
—
T361001
BLUE CHOICE
MD
Enumeration date
05/16/2006
Last updated
10/27/2011
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