Healthcare Provider Details

I. General information

NPI: 1790600344
Provider Name (Legal Business Name): LIZMARIE SILVA TRINIDAD ND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/22/2026
Certification Date: 08/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

469 CALLE JAZMIN
SAN JUAN PR
00926-7201
US

IV. Provider business mailing address

469 CALLE JAZMIN MANSIONES DE RIO PIEDRAS
SAN JUAN PR
00926-7201
US

V. Phone/Fax

Practice location:
  • Phone: 787-964-0605
  • Fax:
Mailing address:
  • Phone: 787-964-0605
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number128
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: