Trujillo, Diana Patricia

Trujillo, Diana Patricia is an individual health care provider with primary practice located at 2960 Rodeo Park Dr W , Santa Fe NM 87505-6351. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Trujillo, Diana Patricia can be contacted via phone (505) 553-4242.

Contact Information

Primary practice address
2960 Rodeo Park Dr W Santa Fe NM 87505-6351
Phone: (505) 553-4242
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X M-04786 New Mexico
Behavioral Health & Social Service Providers / Clinical 1041C0700X I-06754 New Mexico

Profile Details

NPI number 1386688224
LBN Legal business name Trujillo, Diana Patricia
Credentials LISW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jun 13th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386688224 NPPES
New Mexico MEDICAID 79771882

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