MEDICARE: TRINCADO ENTERPRISES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1841164597
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRINCADO ENTERPRISES LLC

Provider Business Mailing Address
First Line	:	8505 COOL VISTA LN
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27613-6899
Country	:	US
Telephone Number	:	919-808-4592
Fax Number	:	984-202-2919

Provider Business Practice Location Address
First Line	:	8505 COOL VISTA LN
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27613-6899
Country	:	US
Telephone Number	:	919-808-4592
Fax Number	:	984-202-2919

Authorized Official
Title or Position	:	CEO, OWNER, PHYSICAL THERAPIST
Name	:	DR. GABRIEL DAVID TRINCADO
Credential	:	PT
Telephone Number	:	919-808-4592

Provider Enumeration Date	:	10/03/2025
Last Update Date	:	10/03/2025

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Directions to “TRINCADO ENTERPRISES LLC ” Practice Location

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