Provider Demographics
NPI:1740212539
Name:TRIAS, ORLITO ANTONIO (MD)
Entity Type:Individual
Prefix:
First Name:ORLITO
Middle Name:ANTONIO
Last Name:TRIAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 ASPETUCK AVE
Mailing Address - Street 2:
Mailing Address - City:NEW MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06776-2803
Mailing Address - Country:US
Mailing Address - Phone:860-354-9314
Mailing Address - Fax:860-350-6676
Practice Address - Street 1:9 ASPETUCK AVE
Practice Address - Street 2:
Practice Address - City:NEW MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06776-2803
Practice Address - Country:US
Practice Address - Phone:860-354-9314
Practice Address - Fax:860-350-6676
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT020677207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B84283Medicare UPIN