Provider Demographics
NPI:1962443036
Name:TRIANA, JOSEPH RAUL (MD)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:RAUL
Last Name:TRIANA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3661 S MIAMI AVE
Mailing Address - Street 2:SUITE 704
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-4236
Mailing Address - Country:US
Mailing Address - Phone:305-854-8112
Mailing Address - Fax:305-854-1633
Practice Address - Street 1:3661 S MIAMI AVE
Practice Address - Street 2:SUITE704
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-4236
Practice Address - Country:US
Practice Address - Phone:305-854-8112
Practice Address - Fax:305-854-1633
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2009-07-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME86888207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL266854800Medicaid
FL266854800Medicaid