Gretel Trullenque, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS8965 Issued in FL

Practice address

1021 Ives Dairy Rd Ste 214
Miami, FL 33179-2537

Phone

(305) 504-6136

Fax

(305) 448-6217

NPI assigned

Oct 10, 2005

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

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.

• Harbour Medical and Aesthetics Center LLC

  • Family Medicine Physician
  • Miami, FL
  • NPI 1659031946
  Medicare reassignment NPD Authorized official
• South Florida Internists Group PA

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1013175074
  Medicare reassignment NPD

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1720076144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415033",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331415033",
            "telephone_number": "305-504-6136",
            "fax_number": "305-448-6217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 IVES DAIRY RD STE 214",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331792537",
            "telephone_number": "305-504-6136",
            "fax_number": "305-448-6217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRULLENQUE",
        "first_name": "GRETEL",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-10",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS8965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271754900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy Trujillo, APRN
• Yandy Trujillo
• Yelisset Trujillo, DMD
• Yeneysy Trujillo, FNP-C
• Trujillo'S Care LLC
• Truly Connected Enterprises Inc
• Trumediq LLC
• Girmachew Truneh, D.O.
• Angela Maria Reyes Truong, M.D.
• Ha M Truong, MD

• Family Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.