Trinidad, Juan Alberto

Trinidad, Juan Alberto is an sole proprietor health care provider with primary practice located at 1800 Town Center Dr Suite 310, Reston VA 20190-3215. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Trinidad, Juan Alberto can be contacted via phone (703) 709-7225.

Contact Information

Primary practice address
1800 Town Center Dr Suite 310 Reston VA 20190-3215
Phone: (703) 709-7225
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101018732 Virginia
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101018732 Virginia

Profile Details

NPI number 1023038825
LBN Legal business name Trinidad, Juan Alberto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2006
Last updated Mar 10th, 2008 - about 16 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 1023038825 NPPES
Virginia MEDICAID 7332939

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