Active NPI
Mauricio Javier Trujillo, M.D.
- Emergency Medicine Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME85809
- Practice address
- 3663 S Miami Ave
Miami, FL 33133-4253 - Phone
- (305) 854-0030
- Fax
- (305) 854-8806
- NPI assigned
- Nov 16, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME85809 | FL | Primary |
Addresses
Primary practice location
3663 S Miami Ave
Miami, FL 33133-4253
Mailing address
PO Box 562185
Miami, FL 33256-2185
Phone (305) 510-7111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 269076400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Miami, LM Miller School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1301 Pennsylvania Ave
Fort Worth, TX 76104-2122
Phone (817) 250-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| Lonestar Hospital Medicine Associates, PA | Emergency Medicine | Current | Accepting new patients |
| The University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| Texas Medicine Resources, LLP | Emergency Medicine | Current | Accepting new patients |
| University of Texas Southwestern Medical Center at Dallas | Emergency Medicine | Current | Accepting new patients |
| Marshall Amaya & Anton P L | Emergency Medicine | Past | Accepting new patients |
| E R Stat Inc | Emergency Medicine | Past | Accepting new patients |
Locations
1105 Central Expy N
Allen, TX 75013
Phone (972) 747-4313
801 W Interstate 20
Arlington, TX 76017
Phone (817) 472-3400
8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148
2222 Welborn St
Dallas, TX 75219
Phone (214) 559-5000
1935 Medical District Dr
#D
Dallas, TX 75235
5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396
1301 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 250-2000
4215 Ramsey Blvd E
Greenville, TX 75401
Phone (903) 408-1470
2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000
7601 Preston Rd
Plano, TX 75024
Phone (469) 303-7300
Organizations & group practices 9
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.
-
- Emergency Medicine Physician
- Fort Worth, TX
- NPI 1376581900
-
- Hospitalist Physician
- Mansfield, TX
- NPI 1518237429
Emergency Medicine
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1942270566
-
- Emergency Medicine Physician
- Plano, TX
- NPI 1629448535
-
- Emergency Medicine Physician
- Fort Worth, TX
- NPI 1639413289
-
- Clinical Medical Laboratory
- Dallas, TX
- NPI 1396832713
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1205880036
-
- Emergency Medicine Physician
- Coral Gables, FL
- NPI 1740226638
-
- Emergency Medicine Physician
- Miami, FL
- NPI 1669419529
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1396779948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206921600000",
"number": "1861565160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 562185",
"city": "MIAMI",
"state": "FL",
"postal_code": "332562185",
"telephone_number": "305-510-7111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3663 S MIAMI AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331334253",
"telephone_number": "305-854-0030",
"fax_number": "305-854-8806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUJILLO",
"first_name": "MAURICIO",
"middle_name": "JAVIER",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-16",
"last_updated": "2008-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME85809",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "269076400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.