Active NPI
David Arnold Trevino, MD
- Internal Medicine Physician
- Merritt Island, FL
National Provider Identifier
1508866385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME73957
- Practice address
- 220 N Sykes Creek Pkwy Ste 301
Merritt Island, FL 32953-3490 - Phone
- (321) 361-5535
- Fax
- (321) 361-5543
- NPI assigned
- Jul 22, 2005
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME73957 | FL | Primary |
Addresses
Primary practice location
220 N Sykes Creek Pkwy Ste 301
Merritt Island, FL 32953-3490
Mailing address
3300 S Fiske Blvd
Rockledge, FL 32955-4306
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 252958100 | Medicaid | FL | |
| 41883Z | Other | FL | FL MEDICARE |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME73957 | FL | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583971200000",
"number": "1508866385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 S FISKE BLVD",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329554306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 N SYKES CREEK PKWY STE 301",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329533490",
"telephone_number": "321-361-5535",
"fax_number": "321-361-5543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREVINO",
"first_name": "DAVID",
"middle_name": "ARNOLD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-22",
"last_updated": "2020-03-12",
"certification_date": "2020-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME73957",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "252958100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL MEDICARE",
"identifier": "41883Z",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Merritt Island, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.