Healthcare Provider Details
I. General information
NPI: 1518358571
Provider Name (Legal Business Name): TRINA HEALTH OF MIAMI
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/12/2015
Last Update Date: 10/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1951 NW 7TH AVE SUITE 480
MIAMI FL
33136-1104
US
IV. Provider business mailing address
1951 NW 7TH AVE SUITE 480
MIAMI FL
33136-1104
US
V. Phone/Fax
- Phone: 786-708-8660
- Fax: 305-549-5486
- Phone: 786-708-8660
- Fax: 305-549-5486
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QI0500X |
| Taxonomy | Infusion Therapy Clinic/Center |
| License Number | ME0007782 |
| License Number State | FL |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM1300X |
| Taxonomy | Multi-Specialty Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NARDO
ZAIAS
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 305-790-5112