Provider Demographics
NPI:1841164597
Name:TRINCADO ENTERPRISES LLC
Entity type:Organization
Organization Name:TRINCADO ENTERPRISES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO, OWNER, PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:TRINCADO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:919-808-4592
Mailing Address - Street 1:8505 COOL VISTA LN
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613-6899
Mailing Address - Country:US
Mailing Address - Phone:919-808-4592
Mailing Address - Fax:984-202-2919
Practice Address - Street 1:8505 COOL VISTA LN
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27613-6899
Practice Address - Country:US
Practice Address - Phone:919-808-4592
Practice Address - Fax:984-202-2919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-03
Last Update Date:2025-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty