Provider Demographics
NPI:1811555998
Name:TRINIDAD, ANGELICA MARIA (DC)
Entity Type:Individual
Prefix:DR
First Name:ANGELICA
Middle Name:MARIA
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 1:1926 10TH AVE N STE 410
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33461-3368
Mailing Address - Country:US
Mailing Address - Phone:561-600-5858
Mailing Address - Fax:
Practice Address - Street 1:1926 10TH AVE N STE 410
Practice Address - Street 2:
Practice Address - City:LAKE WORTH BEACH
Practice Address - State:FL
Practice Address - Zip Code:33461-3368
Practice Address - Country:US
Practice Address - Phone:561-600-5858
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-03
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH12821111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor