Healthcare Provider Details

I. General information

NPI: 1982531539
Provider Name (Legal Business Name): WILNER SANTIAGO TRIANA DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3411 SW 36TH TER
OCALA FL
34474-7404
US

IV. Provider business mailing address

6020 NW 30TH AVE
MIAMI FL
33142-2228
US

V. Phone/Fax

Practice location:
  • Phone: 352-390-3699
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: