Healthcare Provider Details

I. General information

NPI: 1841116977
Provider Name (Legal Business Name): JUAN TRIANA PT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1782 W FLAGLER ST
MIAMI FL
33135-2017
US

IV. Provider business mailing address

1782 W FLAGLER ST
MIAMI FL
33135-2017
US

V. Phone/Fax

Practice location:
  • Phone: 305-489-9090
  • Fax: 305-998-4963
Mailing address:
  • Phone: 305-489-9090
  • Fax: 305-998-4963

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberMA40436
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: