Jose Miguel Trevejo, M.D., PH.D.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

223272 Issued in MA

Practice address

110 Francis St
GB
Boston, MA 02215-5501

Phone

(617) 632-7706

NPI assigned

May 10, 2007

Sex

Male

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508070202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 ABBEY RD",
            "address_2": "3",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021351203",
            "telephone_number": "617-258-3438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 FRANCIS ST",
            "address_2": "GB",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155501",
            "telephone_number": "617-632-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVEJO",
        "first_name": "JOSE",
        "middle_name": "MIGUEL",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MA",
            "license": "223272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kali Trepanier
• Sara Trepanier
• Ruben Antonio Jesus Tresgallo Pares
• Emma Tretler
• Joseph Trettel Jr., MD PHD
• Gretchen Fisher Treves, PAC
• S. Ted Treves, MD
• Gabriel Trevino Verastegui, MD PHD
• Glenn R. Trezza, PH.D.
• Triad Psychotherapy P.C.

• Infectious Disease Physician in Boston, MA
• Providers in Boston, MA by specialty
• Infectious Disease Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.