Healthcare Provider Details
I. General information
NPI: 1326976838
Provider Name (Legal Business Name): TRINITY CLINIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3950 CARR 176 APT 17A
SAN JUAN PR
00926-6605
US
IV. Provider business mailing address
496 CARR 112
ISABELA PR
00662-6043
US
V. Phone/Fax
- Phone: 787-209-1599
- Fax:
- Phone: 787-209-1599
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084S0012X |
| Taxonomy | Sleep Medicine (Psychiatry & Neurology) Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2083B0002X |
| Taxonomy | Obesity Medicine (Preventive Medicine) Physician |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084B0040X |
| Taxonomy | Behavioral Neurology & Neuropsychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ROBERTO
ANTONIO
CARDONA QUINONES
Title or Position: OWNER
Credential: MD
Phone: 787-209-1599