Healthcare Provider Details

I. General information

NPI: 1689500910
Provider Name (Legal Business Name): NATHALY DEL ROSARIO SANTOS TRUJILLO BSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1654 TOWN CENTER BLVD
WESTON FL
33326-3666
US

IV. Provider business mailing address

7250 STIRLING RD APT 108
HOLLYWOOD FL
33024-1645
US

V. Phone/Fax

Practice location:
  • Phone: 954-546-3905
  • Fax:
Mailing address:
  • Phone: 754-465-2592
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: