Active NPI
Hector Trujillo, MD
- Pediatrics Physician
- South Miami, FL
National Provider Identifier
1912996331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME81526
- Practice address
- 5901 SW 74TH St Ste 312
South Miami, FL 33143-5165 - Phone
- (305) 665-5808
- Fax
- (888) 571-6329
- NPI assigned
- Oct 18, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME81526 | FL | Primary |
Addresses
Primary practice location
5901 SW 74TH St Ste 312
South Miami, FL 33143-5165
Mailing address
5901 SW 74TH St Ste 312
South Miami, FL 33143-5165
Phone (305) 665-5808
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 260340300 | Medicaid | FL |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitalmd Group Holding LLC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707782400000",
"number": "1912996331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5901 SW 74TH ST STE 312",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331435165",
"telephone_number": "305-665-5808",
"fax_number": "888-571-6329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 SW 74TH ST STE 312",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331435165",
"telephone_number": "305-665-5808",
"fax_number": "888-571-6329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUJILLO",
"first_name": "HECTOR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-18",
"last_updated": "2024-02-13",
"certification_date": "2023-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME81526",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "260340300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.