Active NPI
Michael E Trujillo, CST
- Surgical Technologist
- Albuquerque, NM
National Provider Identifier
1447317243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Technologist
- Practice address
- 201 Cedar St SE Ste 6600
Albuquerque, NM 87106-5411 - Phone
- (505) 724-4300
- Fax
- (505) 724-4384
- NPI assigned
- Jan 2, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Specialist/Technologist | 246Z00000X | |||
| Surgical Technologist | 246ZS0410X | Primary |
Addresses
Primary practice location
201 Cedar St SE Ste 6600
Albuquerque, NM 87106-5411
Mailing address
201 Cedar St SE Ste 6600
Albuquerque, NM 87106-5411
Phone (505) 724-4300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89709 | Other | CST CERTIFICATE NO |
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": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373932800000",
"number": "1447317243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 CEDAR ST SE STE 6600",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871065411",
"telephone_number": "505-724-4300",
"fax_number": "505-724-4384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 CEDAR ST SE STE 6600",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871065411",
"telephone_number": "505-724-4300",
"fax_number": "505-724-4384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUJILLO",
"first_name": "MICHAEL",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "CST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2013-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "246Z00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other",
"state": null,
"license": null,
"primary": false
},
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CST CERTIFICATE NO",
"identifier": "89709",
"state": null
}
],
"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 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.