Healthcare Provider Details

I. General information

NPI: 1699353383
Provider Name (Legal Business Name): CLAUDIA REGINA LOYOLA AMADOR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2021
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 SW ARCHER ROAD
GAINESVILLE FL
32610-3001
US

IV. Provider business mailing address

PO BOX 100238
GAINESVILLE FL
32610-0238
US

V. Phone/Fax

Practice location:
  • Phone: 352-294-8278
  • Fax:
Mailing address:
  • Phone: 352-294-8278
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number59649
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberME175042
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: