Healthcare Provider Details

I. General information

NPI: 1841118643
Provider Name (Legal Business Name): XIMENA TRIVINOS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5525 W 26TH CT APT 103
HIALEAH FL
33016-4791
US

IV. Provider business mailing address

5525 W 26TH CT APT 103
HIALEAH FL
33016-4791
US

V. Phone/Fax

Practice location:
  • Phone: 786-907-2106
  • Fax:
Mailing address:
  • Phone: 786-907-2106
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberSI5397
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: