Trejo Therapy Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

HCC9440 Issued in FL

Legal business name

TREJO THERAPY INC

Practice address

175 Fontainebleau Blvd
Suite 1-G2
Miami, FL 33172-7018

Phone

(305) 228-1622

Fax

(305) 228-1611

NPI assigned

May 28, 2012

Organization subpart

No

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

Authorized official

Name

Juan Carlos Trejo

Title

President

Phone

(305) 228-1622

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1338163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338163200000",
    "number": "1174883813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 FONTAINEBLEAU BLVD",
            "address_2": "SUITE 1-G2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331727018",
            "telephone_number": "305-228-1622",
            "fax_number": "305-228-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 FONTAINEBLEAU BLVD",
            "address_2": "SUITE 1-G2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331727018",
            "telephone_number": "305-228-1622",
            "fax_number": "305-228-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREJO THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-28",
        "last_updated": "2012-05-28",
        "status": "A",
        "authorized_official_last_name": "TREJO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-228-1622"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "HCC9440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA HCC UNIT",
            "identifier": "FILE 10005",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tree of Life Therapy Solutions Corp
• Irelis Tregent
• Matthew David Treiser
• Eliany Maria Trejo Camacho
• Dipsy Trejo Leal
• Ana Maria Trejo, LMHC
• Anisley Trejo
• Daniela Trejo, PHARMD
• Glenny Trejos, LCMHC
• Marisol Trejos, MD

• Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2012; 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.