Provider Demographics
NPI:1518358571
Name:TRINA HEALTH OF MIAMI
Entity Type:Organization
Organization Name:TRINA HEALTH OF MIAMI
Other - Org Name:TRINA HEALTH OF MIAMI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAIAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-790-5112
Mailing Address - Street 1:1951 NW 7TH AVE
Mailing Address - Street 2:SUITE 480
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-1104
Mailing Address - Country:US
Mailing Address - Phone:786-708-8660
Mailing Address - Fax:305-549-5486
Practice Address - Street 1:1951 NW 7TH AVE
Practice Address - Street 2:SUITE 480
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1104
Practice Address - Country:US
Practice Address - Phone:786-708-8660
Practice Address - Fax:305-549-5486
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-12
Last Update Date:2016-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261Q00000X, 261QM1300X
FLME0007782261QI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL052392500Medicaid
FLIM246AMedicare UPIN
FL052392500Medicaid