| Juan A Trinidad Md Pc | |
|
1800 Town Center Dr Ste 310 Reston VA 20190-3215 | |
| (703) 709-7225 | |
| Not Available |
| Full Name | Juan A Trinidad Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1800 Town Center Dr Ste 310, Reston, Virginia |
| Authorized Official Name and Position | Juan A Trinidad (PRESIDENT) |
| Authorized Official Contact | 7037097225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Juan A Trinidad Md Pc 1800 Town Center Dr Ste 310 Reston VA 20190-3215 Ph: (703) 709-7225 | Juan A Trinidad Md Pc 1800 Town Center Dr Ste 310 Reston VA 20190-3215 Ph: (703) 709-7225 |
| NPI Number | 1306187323 |
|---|---|
| Provider Enumeration Date | 03/15/2013 |
| Last Update Date | 03/15/2013 |
| Medicare PECOS PAC ID | 8224276860 |
|---|---|
| Medicare Enrollment ID | O20130521000515 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306187323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101018732 (Virginia) | Primary |
| 208600000X | Surgery | 0101018732 (Virginia) | Secondary |
| Provider Name | Juan A Trinidad |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1023038825 PECOS PAC ID: 1557366390 Enrollment ID: I20060928000503 |
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