MEDICARE: TRINITY CLINIC, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	2084S0012X	Sleep Medicine (Psychiatry & Neurology) Physician
2	2084P0800X	Psychiatry Physician
3	2083B0002X	Obesity Medicine (Preventive Medicine) Physician
4	2084B0040X	Behavioral Neurology & Neuropsychiatry Physician

General Provider Information

NPI Number	:	1326976838
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRINITY CLINIC, LLC

Provider Business Mailing Address
First Line	:	496 CARR 112
Second Line	:
City	:	ISABELA
State	:	PR
Zip	:	00662-6043
Country	:	US
Telephone Number	:	787-209-1599
Fax Number	:

Provider Business Practice Location Address
First Line	:	3950 CARR 176 APT 17A
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00926-6605
Country	:	US
Telephone Number	:	787-209-1599
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ROBERTO ANTONIO CARDONA QUINONES
Credential	:	MD
Telephone Number	:	787-209-1599

Provider Enumeration Date	:	05/13/2026
Last Update Date	:	05/13/2026

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