Healthcare Provider Details

I. General information

NPI: 1811555998
Provider Name (Legal Business Name): ANGELICA MARIA TRINIDAD DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2019
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 AVE PONCE DE LEON STE G4
SAN JUAN PR
00918-1012
US

IV. Provider business mailing address

818 CALLE ASABACHE
SAN JUAN PR
00926-5821
US

V. Phone/Fax

Practice location:
  • Phone: 787-308-7868
  • Fax:
Mailing address:
  • Phone: 787-308-7868
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH12821
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number922
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: