Individual provider Active NPI

Yaneth Trujillo, MD

  • Family Medicine Physician
  • Weston, FL
National Provider Identifier
1184753246
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME99221 Issued in FL
Practice address
1290 Weston Rd Ste 203
Weston, FL 33326-1909
Phone
(954) 436-8036
Fax
(954) 217-4006
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME99221 FL Primary

Addresses

Primary practice location

1290 Weston Rd Ste 203
Weston, FL 33326-1909

Mailing address

1290 Weston Rd Ste 203
Weston, FL 33326-1909
Phone (954) 436-8036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071126000031 FL Practitioner - Family Practice 1052409224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Yaneth Trujillo MD.PAGroup PAC ID 1951449784, 5 clinicians

Practice addresses (Care Compare)

1290 Weston Rd
Suite 203
Weston, FL 33326-1912
Phone (954) 436-8036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME99221FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rheumatology Medical Center LLC CurrentSince Feb 4, 2021 Accepting new patients
Sky Lab Diagnostic Center LLC PastSince Jul 23, 2023 Accepting new patients

Locations

2300 N Commerce Pkwy
Ste 301
Weston, FL 33326
Phone (954) 314-7768

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1184753246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 WESTON RD STE 203",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333261909",
            "telephone_number": "954-436-8036",
            "fax_number": "954-217-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 WESTON RD STE 203",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333261909",
            "telephone_number": "954-436-8036",
            "fax_number": "954-217-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUJILLO",
        "first_name": "YANETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME99221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

Verify at the official NPI Registry.