Provider Demographics
NPI:1407970437
Name:STELJES, TRINA PEARL (MD)
Entity Type:Individual
Prefix:DR
First Name:TRINA
Middle Name:PEARL
Last Name:STELJES
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 3149
Mailing Address - Street 2:MARINA STATION
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-3149
Mailing Address - Country:US
Mailing Address - Phone:787-834-7740
Mailing Address - Fax:787-652-4525
Practice Address - Street 1:349 AVE HOSTOS
Practice Address - Street 2:MEDICAL EMPORIUM II A-24
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-1509
Practice Address - Country:US
Practice Address - Phone:787-834-7740
Practice Address - Fax:787-652-4525
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR17770208600000X
CAA99601208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A996010Medicaid
PR17770OtherPUERTO RICO MEDICAL LICENSE
PR17770OtherPUERTO RICO MEDICAL LICENSE