Individual
DR. JUAN ALBERTO TRINIDAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1800 TOWN CENTER DR, SUITE 310, RESTON, VA 20190-3215
(703) 709-7225
Mailing address
1800 TOWN CENTER DR, SUITE 310, RESTON, VA 20190-3215
(703) 709-7225
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101018732
VA
208600000X
Surgery Physician
0101018732
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7332939
—
VA
Enumeration date
07/21/2006
Last updated
03/10/2008
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