Individual provider Active NPI

Trina Pearl Steljes, MD

  • Surgery Physician
  • Mayaguez, PR
National Provider Identifier
1407970437
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
17770 Issued in PR
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

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00A996010MedicaidCA
17770OtherPRPUERTO 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100603000488 PR Practitioner - General Surgery 3779684287 Reassigns benefits to 1 organization
Practice locations: Aguadilla, PR; Mayaguez, PR

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
Servicios Quirurgicos del Caribe, PSCGroup PAC ID 3577786524, 4 clinicians

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

ProcedureNumber of procedures
Varicose vein removal46

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Servicios Quirurgicos del Caribe, P.S.C CurrentSince Apr 15, 2014 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.

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

Verify at the official NPI Registry.