Provider Demographics
NPI:1922024421
Name:ESPINOLA, TRINA ELENA (MD)
Entity Type:Individual
Prefix:
First Name:TRINA
Middle Name:ELENA
Last Name:ESPINOLA
Suffix:
Gender:F
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:PO BOX 13247
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33733-3247
Mailing Address - Country:US
Mailing Address - Phone:727-553-7100
Mailing Address - Fax:
Practice Address - Street 1:625 6TH AVE S
Practice Address - Street 2:SUITE 385
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-4662
Practice Address - Country:US
Practice Address - Phone:727-553-7100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-15
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0064176207YX0905X
LA019320207YX0905X
FLME64176207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL373236300Medicaid
FL18777VMedicare PIN
FL18777AMedicare ID - Type Unspecified
FL373236300Medicaid