Juan a Trinidad MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101018732 Issued in VA

Legal business name

JUAN A TRINIDAD MD PC

Practice address

1800 Town Center Dr Ste 310
Reston, VA 20190-3215

Phone

(703) 709-7225

NPI assigned

Mar 15, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Juan A Trinidad, MDNPI 1023038825

Title

President

Phone

(703) 709-7225

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Juan Alberto Trinidad, M.D

  • Family Medicine Physician
  • Reston, VA
  • NPI 1023038825

  DC, Family Medicine

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1363305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363305600000",
    "number": "1306187323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 TOWN CENTER DR STE 310",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903215",
            "telephone_number": "703-709-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 TOWN CENTER DR STE 310",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903215",
            "telephone_number": "703-709-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUAN A TRINIDAD MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-15",
        "last_updated": "2013-03-15",
        "status": "A",
        "authorized_official_last_name": "TRINIDAD",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-709-7225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101018732",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101018732",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lantie Elisabeth Jorandby, MD
• Samira Joron-Badr, LPC
• Joseph D. Madison, DMD, LTD.
• Alan None Joshua, M.D.
• Jowdy Chiropractic Center, LLC
• Juan Jose de Leon Diaz
• Amber June, LCSW, MAC
• Jae-Woo Jung, DDS
• Madeline Petrizzi Jurich, LCSW
• Ellen J Kabat, LCSW

• All providers in Reston, VA
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.