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NPI Code Detail

MEDICARE: DR. LUIS JUAN TRUJILLO M.D.

MEDICARE:  DR. LUIS JUAN TRUJILLO  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208M00000XHospitalist Physician64116-20WI
2208M00000XHospitalist PhysicianMD60595326WA
3207R00000XInternal Medicine PhysicianBP10043181TX
4207R00000XInternal Medicine PhysicianMD60595326WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861752826
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LUIS JUAN TRUJILLO M.D.
Provider Business Mailing Address
First Line : 2102 TREASURE HILLS BLVD
Second Line : ROOM 2.136.03
City : HARLINGEN
State : TX
Zip : 78550-8736
Country : US
Telephone Number : 956-365-8805
Fax Number :
Provider Business Practice Location Address
First Line : 2102 TREASURE HILLS BLVD
Second Line : ROOM 2.136.03
City : HARLINGEN
State : TX
Zip : 78550-8736
Country : US
Telephone Number : 956-365-8805
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2012
Last Update Date : 06/02/2026

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Directions to “ DR. LUIS JUAN TRUJILLO M.D.” Practice Location

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