Provider Demographics
NPI:1629707534
Name:ROZAS, TRIANA
Entity Type:Individual
Prefix:
First Name:TRIANA
Middle Name:
Last Name:ROZAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2939 MADEIRA CT
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-1907
Mailing Address - Country:US
Mailing Address - Phone:202-751-6130
Mailing Address - Fax:
Practice Address - Street 1:1438 SHERIDAN ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-8015
Practice Address - Country:US
Practice Address - Phone:202-751-6130
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-07
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion