MEDICARE: GABRIELLA TRUJILLO

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
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1497682892
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GABRIELLA TRUJILLO

Provider Business Mailing Address
First Line	:	9630 SW 122ND ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33176-5075
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1005 JOE DIMAGGIO DR
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-5487
Country	:	US
Telephone Number	:	954-265-5324
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/07/2026
Last Update Date	:	05/07/2026

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Directions to “ GABRIELLA TRUJILLO ” Practice Location

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