NPIMap

Organization Active NPI

Trejo Medical Center

  • General Practice Physician
  • Naguabo, PR
National Provider Identifier
1063683316
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
11965 Issued in PR
Legal business name
TREJO MEDICAL CENTER
Practice address
38 Calle Munoz Rivera
Naguabo, PR 00718-2214
Phone
(787) 874-3786
Fax
(787) 874-3786
NPI assigned
Mar 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Eduardo Trejo Derivet, M.D.NPI 1457305260
Title
President
Phone
(787) 874-3786

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 11965 PR
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 11965 PR Primary

Addresses

Primary practice location

38 Calle Munoz Rivera
Naguabo, PR 00718-2214

Mailing address

PO Box 701
Naguabo, PR 00718-0701
Phone (787) 874-3786

National Provider Directory

National Provider Directory
Tax ID family
Trejo Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1063683316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 701",
            "city": "NAGUABO",
            "state": "PR",
            "postal_code": "007180701",
            "telephone_number": "787-874-3786",
            "fax_number": "787-874-3786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 CALLE MUNOZ RIVERA",
            "city": "NAGUABO",
            "state": "PR",
            "postal_code": "007182214",
            "telephone_number": "787-874-3786",
            "fax_number": "787-874-3786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREJO MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "TREJO DERIVET",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-874-3786",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "11965",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "PR",
            "license": "11965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naguabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.