Active NPI
Excellence Medical & Research
- Family Nurse Practitioner
- Miami Gardens, FL
National Provider Identifier
1700596541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- EXCELLENCE MEDICAL & RESEARCH
- Doing business as
- Excellence medical & research
- Practice address
- 111 NW 183Rd St Ste 206
Miami Gardens, FL 33169-4579 - Phone
- (786) 320-5229
- Fax
- (786) 320-5279
- NPI assigned
- Dec 2, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miguel Angel Trujillo Perez, FNP-C
- Title
- Nurse Practitioner
- Phone
- (714) 931-9877
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
111 NW 183Rd St Ste 206
Miami Gardens, FL 33169-4579
Mailing address
111 NW 183Rd St Ste 206
Miami Gardens, FL 33169-4579
Phone (786) 320-5229
Other names 1
- Excellence medical & research
National Provider Directory
National Provider DirectoryLocations
111 NW 183rd St
Ste 206
Miami Gardens, FL 33169
Phone (786) 320-5229
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Miami Gardens, FL
- NPI 1558071324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669939200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669939200000",
"number": "1700596541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 NW 183RD ST STE 206",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "331694579",
"telephone_number": "786-320-5229",
"fax_number": "786-320-5279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 NW 183RD ST STE 206",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "331694579",
"telephone_number": "786-320-5229",
"fax_number": "786-320-5279"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXCELLENCE MEDICAL & RESEARCH",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-02",
"last_updated": "2022-12-02",
"certification_date": "2022-12-02",
"status": "A",
"authorized_official_last_name": "TRUJILLO PEREZ",
"authorized_official_first_name": "MIGUEL",
"authorized_official_middle_name": "ANGEL",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "714-931-9877",
"authorized_official_credential": "FNP-C"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Excellence medical & research",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Miami Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.