Active NPI
Edward Trujillo, CRNA
- Anesthesiologist Assistant
- Boynton Beach, FL
National Provider Identifier
1497779839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- ARNP2087152
- Practice address
- 2815 S Seacrest Blvd
Boynton Beach, FL 33435-7934 - Phone
- (561) 737-7733
- NPI assigned
- Jul 27, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | ARNP2087152 | FL | Primary |
Addresses
Primary practice location
2815 S Seacrest Blvd
Boynton Beach, FL 33435-7934
Mailing address
1903 S Congress Ave
Suite 180
Boynton Beach, FL 33426-6548
Phone (561) 732-1277
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RO45729 | Other | ME | ME LICENSE |
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)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40747 | FL | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Assoc. of Palm Beach Gardens, PA | Past | Accepting new patients | |
| Anesthesia Associates P.a. | Past | Accepting new patients | |
| South Florida Gastroenterology Associates PA | Past | Accepting new patients | |
| Southeast Anesthesia Associates | Past | Accepting new patients | |
| Mount Desert Island Hospital | Past | Accepting new patients | |
| Mount Desert Island Hospital | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/b5eba017-85d4-4b6c-a2f0-9b2c7b0c38dd/
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Palm Beach Gardens, FL
- NPI 1295716231
-
- Anesthesiology Physician
- Boynton Beach, FL
- NPI 1114965506
-
- Gastroenterology Physician
- Lake Worth, FL
- NPI 1194758417
-
- Certified Registered Nurse Anesthetist
- Port St Lucie, FL
- NPI 1710026281
-
- Dental Clinic/Center
- Southwest Harbor, ME
- NPI 1235553413
-
- Critical Access Hospital
- Bar Harbor, ME
- NPI 1790764512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206576000000",
"number": "1497779839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1903 S CONGRESS AVE",
"address_2": "SUITE 180",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334266548",
"telephone_number": "561-732-1277",
"fax_number": "561-732-0897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2815 S SEACREST BLVD",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334357934",
"telephone_number": "561-737-7733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUJILLO",
"first_name": "EDWARD",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2008-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "FL",
"license": "ARNP2087152",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ME LICENSE",
"identifier": "RO45729",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.