Provider Demographics
NPI:1154318822
Name:TRIGO, MELANIA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MELANIA
Middle Name:
Last Name:TRIGO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1821 SW 16TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33145-1432
Mailing Address - Country:US
Mailing Address - Phone:305-801-5642
Mailing Address - Fax:
Practice Address - Street 1:2955 W CORPORATE LAKES BLVD STE 600
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33331-3626
Practice Address - Country:US
Practice Address - Phone:954-660-5555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS29748183500000X
FLPU46761835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered183500000XPharmacy Service ProvidersPharmacist
Not Answered1835G0303XPharmacy Service ProvidersPharmacistGeriatric