Active NPI
David Lucero Trujillo
- Case Manager/Care Coordinator
- Albuquerque, NM
National Provider Identifier
1376323527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 8205 Spain Rd NE Ste 106
Albuquerque, NM 87109-3155 - Phone
- (505) 856-0300
- NPI assigned
- Oct 4, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
8205 Spain Rd NE Ste 106
Albuquerque, NM 87109-3155
Mailing address
8205 Spain Rd NE Ste 106
Albuquerque, NM 87109-3155
Phone (505) 856-0300
Other practice location 1
400 Gold Ave SW Ste 1300
Albuquerque, NM 87102-3274
Phone (505) 715-4610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719792000000",
"number": "1376323527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8205 SPAIN RD NE STE 106",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871093155",
"telephone_number": "505-856-0300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8205 SPAIN RD NE STE 106",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871093155",
"telephone_number": "505-856-0300"
}
],
"practiceLocations": [
{
"address_1": "400 Gold Ave SW Ste 1300",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871023274",
"country_code": "US",
"telephone_number": "505-715-4610",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUCERO TRUJILLO",
"first_name": "DAVID",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-10-04",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.