Provider Demographics
NPI:1265538557
Name:TRONCALES, ANNA MARIE OCASIONES (MD)
Entity type:Individual
Prefix:MRS
First Name:ANNA MARIE
Middle Name:OCASIONES
Last Name:TRONCALES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANNA MARIE
Other - Middle Name:LLAMIDO
Other - Last Name:OCASIONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:34503 9TH AVE S STE 100
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-8726
Mailing Address - Country:US
Mailing Address - Phone:253-835-8700
Mailing Address - Fax:206-244-3991
Practice Address - Street 1:34503 9TH AVE S STE 100
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-8726
Practice Address - Country:US
Practice Address - Phone:253-835-8700
Practice Address - Fax:206-244-3991
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60630894207R00000X
FLME108412207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2064320Medicaid