Healthcare Provider Details

I. General information

NPI: 1154318822
Provider Name (Legal Business Name): MELANIA TRIGO PHARM.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2955 W CORPORATE LAKES BLVD STE 600
WESTON FL
33331-3626
US

IV. Provider business mailing address

1821 SW 16TH TER
MIAMI FL
33145-1432
US

V. Phone/Fax

Practice location:
  • Phone: 954-660-5555
  • Fax:
Mailing address:
  • Phone: 305-801-5642
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS29748
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License NumberPU4676
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: