Individual
DR. JAKE JULIAN TRINIDAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14603 HUEBNER RD BLDG 12, SAN ANTONIO, TX 78230-5481
(210) 774-1109
Mailing address
14603 HUEBNER RD BLDG 12, SAN ANTONIO, TX 78230-5481
(210) 774-1109
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
Q5111
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700528239
NPI
TX
01
—
1861787418
NPI
TX
Enumeration date
06/11/2011
Last updated
09/20/2022
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