Provider Demographics
NPI:1780730168
Name:TRINIDAD, FLOYD EDWARD (MD)
Entity type:Individual
Prefix:
First Name:FLOYD
Middle Name:EDWARD
Last Name:TRINIDAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:4600 S MILL AVE STE 280
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-6850
Mailing Address - Country:US
Mailing Address - Phone:480-305-2888
Mailing Address - Fax:480-305-2889
Practice Address - Street 1:3100 N ALMA SCHOOL RD
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-1468
Practice Address - Country:US
Practice Address - Phone:480-677-8282
Practice Address - Fax:480-677-8283
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2013-05-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MT10880207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT810542541OtherCOMMERCIAL
H27811Medicare UPIN
MT4457950001Medicare NSC
MT011002372Medicare PIN