Provider Demographics
NPI:1245620210
Name:TRUJILLO, SILVIA ESTHER (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:SILVIA
Middle Name:ESTHER
Last Name:TRUJILLO
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16160 SW 87TH AVE
Mailing Address - Street 2:
Mailing Address - City:PALMETTO BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-3666
Mailing Address - Country:US
Mailing Address - Phone:868-621-8737
Mailing Address - Fax:888-809-1412
Practice Address - Street 1:16160 SW 87TH AVE
Practice Address - Street 2:
Practice Address - City:PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-3666
Practice Address - Country:US
Practice Address - Phone:786-862-1873
Practice Address - Fax:888-809-1412
Is Sole Proprietor?:No
Enumeration Date:2015-01-29
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2581422163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse