Luis Bernardo Trujillo, MA 39379

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

MA39379 Issued in FL

Practice address

2614 Vinedale Ave
Valrico, FL 33596-7383

Phone

(813) 719-0326

NPI assigned

Nov 18, 2009

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258502400000",
    "number": "1396073078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W MARTIN LUTHER KING BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336033402",
            "telephone_number": "813-307-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2614 VINEDALE AVE",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335967383",
            "telephone_number": "813-719-0326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUJILLO",
        "first_name": "LUIS",
        "middle_name": "BERNARDO",
        "credential": "MA 39379",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-18",
        "last_updated": "2009-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "MA39379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Lane Trevarthan, PHARMD
• Caitlin Trierweiler
• Trini-T Medical Services LLC
• True Blue Peds Therapy
• True Blue Therapy LLC
• Anh Ngoc Truong, PHARM D
• Trusted Connections LLC
• Diane Turnbull, LPN
• Jessica Turner, LMHC
• Erin Twombly, PTA

• Rehabilitation Clinic/Center in Valrico, FL
• Providers in Valrico, FL by specialty
• Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; 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.