Active NPI
Trina Pearl Steljes, MD
- Surgery Physician
- Mayaguez, PR
National Provider Identifier
1407970437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 17770
- Practice address
- 349 Ave Hostos
Medical Emporium II a-24
Mayaguez, PR 00680-1509 - Phone
- (787) 834-7740
- Fax
- (787) 652-4525
- NPI assigned
- Mar 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 17770 | PR | Primary |
Addresses
Primary practice location
349 Ave Hostos
Medical Emporium II a-24
Mayaguez, PR 00680-1509
Mailing address
PO Box 3149
Marina Station
Mayaguez, PR 00681-3149
Phone (787) 834-7740
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A996010 | Medicaid | CA | |
| 17770 | Other | PR | PUERTO RICO MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Nevada School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Ave Hostos 351 Medical Emporium
1 Suite 110
Mayaguez, PR 00680-1502
Phone (787) 834-7740
Ave Hostos 351 Medical Emporium I
Suite 110
Mayaguez, PR 00680-1502
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 46 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Servicios Quirurgicos del Caribe, P.S.C | Current | Accepting new patients | |
| Usc Surgeons, Inc. | Surgery | Past | Accepting new patients |
| Fairbanks Memorial Physician Specialities | Past | Accepting new patients |
Locations
351 Ave Hostos
Ste 110
Mayaguez, PR 00680
Phone (787) 805-2041
Organizations & group practices 3
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.
-
- Medical Specialty Clinic/Center
- Mayaguez, PR
- NPI 1255750204
-
- Multi-Specialty Clinic/Center
- Fairbanks, AK
- NPI 1386763290
-
- Surgery Physician
- Los Angeles, CA
- NPI 1821034315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712620800000",
"number": "1407970437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3149",
"address_2": "MARINA STATION",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006813149",
"telephone_number": "787-834-7740",
"fax_number": "787-652-4525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "349 AVE HOSTOS",
"address_2": "MEDICAL EMPORIUM II A-24",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006801509",
"telephone_number": "787-834-7740",
"fax_number": "787-652-4525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STELJES",
"first_name": "TRINA",
"middle_name": "PEARL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2024-04-09",
"certification_date": "2024-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PR",
"license": "17770",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A996010",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PUERTO RICO MEDICAL LICENSE",
"identifier": "17770",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mayaguez, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.