Hernandez-Trujillo, Juan Manuel

Hernandez-Trujillo, Juan Manuel is an individual health care provider with primary practice located at 14505 Commerce Way Suite 800, Miami Lakes FL 33016-1597. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Hernandez-Trujillo, Juan Manuel can be contacted via phone (305) 821-7717.

Contact Information

Primary practice address
14505 Commerce Way Suite 800 Miami Lakes FL 33016-1597
Phone: (305) 821-7717
Fax: (305) 821-9077
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME33835 Florida

Profile Details

NPI number 1043405558
LBN Legal business name Hernandez-Trujillo, Juan Manuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2007
Last updated Jan 21st, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043405558 NPPES
Florida MEDICAID 378700100

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