YANETH TRUJILLO MD.PA NPI 1093951196

NPI Information

NPI: 1093951196
Provider Name: YANETH TRUJILLO MD.PA
Classification: Clinic/Center - 261QP2300X
Specialization: Primary Care
Entity Type: Organization
:
CLIA Number: 10D2146480
Address: 1290 WESTON RD STE 203
WESTON, FL
ZIP 33326
Phone: (954) 436-8036

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NPI Details

YANETH TRUJILLO MD.PA is a primary care clinic center in Weston, FL. YANETH TRUJILLO MD.PA NPI is 1093951196. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

1290 WESTON RD STE 203
WESTON, FL
ZIP 33326-909
Phone: (954) 436-8036
Fax: (954) 949-9180

The provider's authorized official is Yaneth Trujillo .
The authorized official title is Family Physician and has the following contact phone number (954) 675-9671.

The CLIA number assigned to this NPI record is 10D2146480 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/20/2008 and was last updated on 11/12/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	080274	FLORIDA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			No
3	2084P0800X	Psychiatry & Neurology	Psychiatry			No
4	261QP2300X	Clinic/Center	Primary Care	ME99221	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	126766600	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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