Active NPI
Boris Luis Trimino, PA
- Medical Physician Assistant
- West Palm Beach, FL
National Provider Identifier
1396516480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PACN16
- Practice address
- 3255 Forest Hill Blvd Ste 103
West Palm Beach, FL 33406-5854 - Phone
- (561) 964-4577
- NPI assigned
- Jan 9, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 2018 | PR | |
| Medical Physician Assistant | 363AM0700X | PACN16 | FL | Primary |
Addresses
Primary practice location
3255 Forest Hill Blvd Ste 103
West Palm Beach, FL 33406-5854
Mailing address
4142 W Oregon Ave
Phoenix, AZ 85019-2225
Phone (480) 749-3451
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018 | PR | MD | Psychologist |
| PACN16 | FL | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754697600000",
"number": "1396516480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4142 W OREGON AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850192225",
"telephone_number": "480-749-3451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3255 FOREST HILL BLVD STE 103",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334065854",
"telephone_number": "561-964-4577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIMINO",
"first_name": "BORIS",
"middle_name": "LUIS",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-01-09",
"last_updated": "2025-08-09",
"certification_date": "2025-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PR",
"license": "2018",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PACN16",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.