LUIS BERNARDO TRUJILLO (NPI# 1396073078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396073078 |
| Entity Type | Individual |
| Full Name | LUIS BERNARDO TRUJILLO |
| Credential | MA 39379 |
| Practice Address |
2614 Vinedale Ave Valrico FL 33596-7383 |
| Mailing Address |
500 W Martin Luther King Blvd Tampa FL 33603-3402 |
| Practice Telephone | 8137190326 |
| Mailing Telephone | 8133070933 |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2009-11-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
MA39379 | FL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285640607 | Luis Trujillo | Nurse Practitioner | 1459 Sycamore Dr, Simi Valley, CA 93065-4751 | 2006-07-31 |
| 1821042094 | Luis A Trujillo | Emergency Medicine | 515 Quarter St, Gladwin, MI 48624-1959 | 2006-05-20 |
| 1861960411 | Luis Trujillo | Physical Therapy Assistant | 8301 E Prentice Ave Ste 207, Greenwood Village, CO 80111-2905 | 2018-11-12 |
| 1528565769 | Luis Adrian Trujillo | Behavior Technician | 5550 W Flamingo Rd Ste C5, Las Vegas, NV 89103-0137 | 2018-04-12 |
| 1861752826 | Luis Juan Trujillo | Internal Medicine | 2102 Treasure Hills Blvd, Room 2.136.03, Harlingen, TX 78550-8736 | 2012-05-24 |
| 1619109758 | Luis C Trujillo | Optometrist | 1200 W Godfrey Ave, Philadelphia, PA 19141-3323 | 2009-08-21 |
| Street Address |
2614 VINEDALE AVE |
| City | VALRICO |
| State | FL |
| Zip Code | 33596-7383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093271983 | Barbara Jeanne Ross | Registered Nurse | 2322 Longmore Circle, Valrico, FL 33596 | 2019-02-15 |
| 1376023481 | Michelle L Stinehelfer | Physical Medicine & Rehabilitation | 1418 East Bloomingdale Avenue, Valrico, FL 33596 | 2018-08-17 |
| 1487131645 | Nationwide Vision Center, LLC | Technician/Technologist | 2054 E Bloomingdale Ave, Valrico, FL 33596 | 2018-07-20 |
| 1952827305 | Alicia Marie Glasser | Counselor | 3011 Folklore Dr, Valrico, FL 33596 | 2017-08-17 |
| 1811443104 | Yosanna Melendez | Day Training, Developmentally Disabled Services | 4408 Kendal Ct, Valrico, FL 33596 | 2016-08-28 |
| 1689030181 | Wal-mart Stores East, Lp | Technician/Technologist | 2140 Bloomingdale Avenue, Valrico, FL 33596 | 2016-01-13 |
| 1841660008 | Tyler Bradney Love | Physical Therapist | 2470 Bloomingdale Ave, Valrico, FL 33596 | 2015-09-30 |
| 1528499761 | Madeline Horn | Registered Nurse | 2211 Lithia Center Ln, Valrico, FL 33596 | 2013-12-12 |
| 1740614635 | Dr James M Petro Od, Pa | Optometrist | 2140 E Bloomingdale Ave, Located In Wal-mart Vision Center, Valrico, FL 33596 | 2013-08-27 |
| 1134476294 | Ovia Voncile Stephens-oatman | Custodial Care Facility | 4220 Balington Dr, Valrico, FL 33596 | 2012-08-08 |
| Find all providers in zip 33596 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295271518 | Ability Health Services and Rehabilitation Lp | Clinic/Center | 1418 Bloomingdale Ave, Valrico, FL 33596-6110 | 2017-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598365496 | Cora Health Services, Inc. | Clinic/Center | 794 Blanding Blvd, Orange Park, FL 32065-5721 | 2020-10-29 |
| 1508466707 | A1a Physical Therapy, LLC | Clinic/Center | 8 Ocean Trace Rd, Saint Augustine, FL 32080-6972 | 2020-10-27 |
| 1891394078 | Rehabclinics Pta, Inc. | Clinic/Center | 12543 Miramar Pkwy, Miramar, FL 33027-2909 | 2020-10-20 |
| 1952918369 | Bayit Therapy LLC | Clinic/Center | 4699 N Federal Hwy Ste 101g, Pompano Beach, FL 33064-6510 | 2020-09-29 |
| 1205440815 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 3511 Vanderbilt Beach Rd, Naples, FL 34109-1342 | 2020-09-01 |
| 1275147043 | Sensei Medical Center Inc | Clinic/Center | 6500 W 4th Ave Ste 31, Hialeah, FL 33012-6606 | 2020-08-31 |
| 1649894361 | Yemaya Medical Center LLC | Clinic/Center | 2141 Sw 1st St Ste 206a, Miami, FL 33135-5603 | 2020-05-29 |
| 1336769801 | H2 Rehabilitation Services of Florida LLC | Clinic/Center | 484 Riverside Ave, Jacksonville, FL 32202-4912 | 2020-04-24 |
| 1649806787 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 111 N County Highway 393 Ste 201, Santa Rosa Beach, FL 32459-5366 | 2020-03-20 |
| 1366078032 | Cora Health Services, Inc. | Clinic/Center | 11420 Us Hwy 301 S, Riverview, FL 33578 | 2020-03-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.