Individual provider · Type 1 NPI

Luis Bernardo Trujillo, MA 39379

Rehabilitation Clinic/Center · Valrico, FL

NPI number 1396073078 Active

Practice location

2614 Vinedale Ave
Valrico, FL 33596-7383

Mailing address

500 W Martin Luther King Blvd
Tampa, FL 33603-3402

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Clinic/Center Primary 261QR0400XMA39379 (FL)

Rehabilitation Clinic/Center: Definition to come...

About NPI 1396073078

Luis Bernardo Trujillo, MA 39379's National Provider Identifier is 1396073078, issued on Nov 18, 2009. The primary taxonomy on file is Rehabilitation Clinic/Center (261QR0400X), and the practice location is in Valrico, FL. The record was last updated on Nov 18, 2009.