Provider Demographics
NPI:1740353242
Name:TRUJILLO-VALENCIA, MONICA ROSA (MD)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:ROSA
Last Name:TRUJILLO-VALENCIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 CANARY AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-2215
Mailing Address - Country:US
Mailing Address - Phone:956-631-8412
Mailing Address - Fax:956-631-8413
Practice Address - Street 1:413 LINDBERG AVE
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-2921
Practice Address - Country:US
Practice Address - Phone:956-668-7770
Practice Address - Fax:956-668-7717
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK74042080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG84795Medicare UPIN