Individual provider Active NPI

Juan Alejandro Trinidad, PH.D., MSC.

  • Clinical Psychologist
  • San Juan, PR
National Provider Identifier
1184307944
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7479 Issued in PR
Practice address
Urb. El Cerezal 1672, Calle Parana
Suite 3
San Juan, PR 00926
Phone
(787) 766-3333
NPI assigned
Aug 9, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 7479 PR Primary

Addresses

Primary practice location

Urb. El Cerezal 1672, Calle Parana
Suite 3
San Juan, PR 00926

Mailing address

Urb. Altavilla 13
Camino Panoramico
San Juan, PR 00976

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Caribbean Pain Institute PSC Past Accepting new patients
PMR Center PSC PastSince Aug 13, 2023 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1184307944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. ALTAVILLA 13",
            "address_2": "CAMINO PANORAMICO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. EL CEREZAL 1672, CALLE PARANA",
            "address_2": "SUITE 3",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-766-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRINIDAD",
        "first_name": "JUAN",
        "middle_name": "ALEJANDRO",
        "name_prefix": "Dr.",
        "credential": "PH.D., MSC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "7479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.