Individual
MRS. REGLA TRUJILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRT
Contact information
Practice address
7282 SW 114TH PL, MIAMI, FL 33173-2607
(786) 457-7784
(786) 360-4310
Mailing address
11422 SW 73RD TER, MIAMI, FL 33173-2692
(786) 457-7784
(786) 360-4310
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
CRT 58464
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CRT 58464
STATE OF FLORIDA DEPARTMENT OF HEALTH DIVISION OF QUALITY ASSURANCE
FL
Enumeration date
04/26/2011
Last updated
05/20/2013
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