Provider Demographics
NPI:1548421571
Name:PATEL-TRUJILLO, RINA (DO)
Entity Type:Individual
Prefix:
First Name:RINA
Middle Name:
Last Name:PATEL-TRUJILLO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5501 JEFFERSON ST NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-3437
Mailing Address - Country:US
Mailing Address - Phone:505-872-1002
Mailing Address - Fax:505-888-3708
Practice Address - Street 1:5501 JEFFERSON ST NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-3437
Practice Address - Country:US
Practice Address - Phone:505-872-1002
Practice Address - Fax:505-888-3708
Is Sole Proprietor?:No
Enumeration Date:2008-06-23
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMA-1744-13207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism