Idelsis Trelles, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9104276 Issued in FL

Practice address

7300 SW 62ND PL
South Miami, FL 33143-4806

Phone

(305) 665-1133

NPI assigned

Sep 11, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2025 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221091200000",
    "number": "1174772396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7721 NW 7TH ST APT 817",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331266110",
            "telephone_number": "305-281-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 SW 62ND PL",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434806",
            "telephone_number": "305-665-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRELLES",
        "first_name": "IDELSIS",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-11",
        "last_updated": "2008-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9104276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph A Traina, M.D.
• Thinh Tran, M.D.
• Vu Phi Tran, PHARM D.
• Craig Rick Travis, MD
• Allyossana Trejo, BSN, RN
• Stephanie Triarhos, PHD, MS ED
• Daniela Trujillo Loaiza, MD
• Hector Trujillo, MD
• Natalie Trujillo
• Tania Turbay, DPM

• Physician Assistant in South Miami, FL
• Providers in South Miami, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.