Provider Demographics
NPI:1689463788
Name:VERA, TRINIDAD
Entity type:Individual
Prefix:
First Name:TRINIDAD
Middle Name:
Last Name:VERA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1628 W FOREST GROVE RD
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360-1532
Mailing Address - Country:US
Mailing Address - Phone:856-896-1139
Mailing Address - Fax:856-896-1139
Practice Address - Street 1:1628 W FOREST GROVE RD
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-1532
Practice Address - Country:US
Practice Address - Phone:856-896-1139
Practice Address - Fax:856-896-1139
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services