Healthcare Provider Details

I. General information

NPI: 1023955465
Provider Name (Legal Business Name): CLAUDIA BEATRIZ RAMOS TRUJILLO P.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8363 LAKE DR APT 301
DORAL FL
33166-7733
US

IV. Provider business mailing address

8363 LAKE DR APT 301
DORAL FL
33166-7733
US

V. Phone/Fax

Practice location:
  • Phone: 305-619-2032
  • Fax:
Mailing address:
  • Phone: 305-619-2032
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number3060
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: