Provider Demographics
NPI:1356739502
Name:TRIGO, LOURDES MARIA (MD)
Entity type:Individual
Prefix:DR
First Name:LOURDES
Middle Name:MARIA
Last Name:TRIGO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10070 NW 51ST LN
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-3411
Mailing Address - Country:US
Mailing Address - Phone:305-401-0933
Mailing Address - Fax:786-513-0493
Practice Address - Street 1:10070 NW 51ST LN
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33178-3411
Practice Address - Country:US
Practice Address - Phone:305-401-0933
Practice Address - Fax:786-513-0493
Is Sole Proprietor?:No
Enumeration Date:2014-12-22
Last Update Date:2014-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 47682207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology