| Trujillo Medical Center | |
|
1290 Weston Rd Ste 203 Weston FL 33326-1909 | |
| (954) 436-8036 | |
| (954) 949-9180 |
| Full Name | Trujillo Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1290 Weston Rd Ste 203, Weston, Florida |
| Authorized Official Name and Position | Yaneth Trujillo (FAMILY PHYSICIAN) |
| Authorized Official Contact | 9546759671 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trujillo Medical Center 1040 Weston Rd Ste 215 Weston FL 33326-1912 Ph: (954) 436-8036 | Trujillo Medical Center 1290 Weston Rd Ste 203 Weston FL 33326-1909 Ph: (954) 436-8036 |
| NPI Number | 1093951196 |
|---|---|
| Provider Enumeration Date | 12/20/2008 |
| Last Update Date | 09/22/2023 |
| Medicare PECOS PAC ID | 1951449784 |
|---|---|
| Medicare Enrollment ID | O20091116000052 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093951196 | NPI | - | NPPES |
| 279452700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 080274 (Florida) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | ME99221 (Florida) | Primary |
| Provider Name | Carlos H Romero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598862062 PECOS PAC ID: 1658478656 Enrollment ID: I20070529000181 |
| Provider Name | Yaneth Trujillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184753246 PECOS PAC ID: 1052409224 Enrollment ID: I20071126000031 |
| Provider Name | Jorge C Mora |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114129210 PECOS PAC ID: 4981786084 Enrollment ID: I20080129000191 |
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