Individual
JUANITO U UY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5501 W BETHEL AVE, MUNCIE, IN 47304-8513
(765) 289-5410
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036122580
IL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
01071955A
IN
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
34679
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000796655
ANTHEM
IN
05
—
201127210
—
IN
01
—
P01129510
RR MEDICARE
IN
Enumeration date
02/25/2009
Last updated
10/16/2025
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