# JUAN A TRINIDAD MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306187323
- **Authorized official:** DR. JUAN A TRINIDAD MD (PRESIDENT)
- **Authorized official phone:** (703) 709-7225

## Contact information

- **Practice address:** 1800 TOWN CENTER DR STE 310, RESTON, VA 20190-3215
- **Practice address phone:** (703) 709-7225
- **Mailing address:** 1800 TOWN CENTER DR STE 310, RESTON, VA 20190-3215
- **Mailing address phone:** (703) 709-7225

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0101018732 | VA | Yes |
| 208600000X | Surgery Physician | 0101018732 | VA | — |

## Other

- **Enumeration date:** 03/15/2013
- **Last updated:** 03/15/2013