Provider Demographics
NPI:1881167187
Name:TRINIDAD, ISAMAR ZOE (MSW)
Entity type:Individual
Prefix:
First Name:ISAMAR
Middle Name:ZOE
Last Name:TRINIDAD
Suffix:
Gender:F
Credentials:MSW
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 34 GARROCHALES
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00652
Mailing Address - Country:US
Mailing Address - Phone:787-451-9679
Mailing Address - Fax:
Practice Address - Street 1:PROFESSIONAL OFFIICE PARK BUILDING V PFIZER TOWER
Practice Address - Street 2:SUITE 300
Practice Address - City:SAN ROBERTO ST MARGINAL CUPEY
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-641-0773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-09
Last Update Date:2019-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR227371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical