Provider Demographics
NPI:1285860353
Name:TRUJILLO, ZUZEL (DMD)
Entity Type:Individual
Prefix:DR
First Name:ZUZEL
Middle Name:
Last Name:TRUJILLO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15833 PINES BLVD
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33027-1203
Mailing Address - Country:US
Mailing Address - Phone:954-443-3030
Mailing Address - Fax:954-443-9431
Practice Address - Street 1:15833 PINES BLVD
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33027-1203
Practice Address - Country:US
Practice Address - Phone:954-443-3030
Practice Address - Fax:954-443-9431
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-03
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN186731223X0400X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty