Provider Demographics
NPI:1366981425
Name:TRINIDAD, WALESKA (DC)
Entity type:Individual
Prefix:DR
First Name:WALESKA
Middle Name:
Last Name:TRINIDAD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BB4 CALLE 32
Mailing Address - Street 2:
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976-2103
Mailing Address - Country:US
Mailing Address - Phone:787-962-5177
Mailing Address - Fax:
Practice Address - Street 1:BB4 CALLE 32
Practice Address - Street 2:CIUDAD UNIVERSITARIA
Practice Address - City:TRUJILLO ALTO
Practice Address - State:PR
Practice Address - Zip Code:00976-2103
Practice Address - Country:US
Practice Address - Phone:787-962-5177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-21
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR0538111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor