Organization Active NPI

Excellence Medical & Research

  • Family Nurse Practitioner
  • Miami Gardens, FL
National Provider Identifier
1700596541
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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

Updated by the provider on Dec 2, 2022

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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.