| Organization Name: | TRUJILLO MEDICAL CORPORATION |
| NPI Number: | 1003225509 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ERNESTO LABOY (PRESIDENTE) |
| Mailing Address: | 181 Street Km 2.1 Trujillo Medical Building Ofic 101 Trujillo Alto |
| State: | PR US |
| Postal Code: | 00976 |
| Phone Number: | 7872832800 |
| Fax Number: | |
| NPI Enumeration Date: | 08/08/2014 |
| NPI Last Update Date: | 05/15/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 6936 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |