Active NPIIndividual provider

Amanda C Trout, DO

Pain Medicine, Interventional Pain Medicine in San Juan, Puerto Rico

NPI Number1699074823
Practice location
954 Avenida Ponce De Leon, Ste 205- Pmb#10600, San Juan, PR 00906
Fax
—
Last updated
October 2, 2023

Amanda C Trout is a Pain Medicine, Interventional Pain Medicine based in San Juan, PR. Amanda C Trout practices in San Juan, PR and has the professional credentials of DO. The NPI Number for Amanda C Trout is 1699074823 and holds a License No. Q7802 (TX). The current practice location address for Amanda C Trout is 954 Avenida Ponce De Leon, Ste 205- Pmb#10600, San Juan, PR 00906 and can be reached out via phone at 847-275-5961.

Provider Profile Details

NPI Number
1699074823
Provider Name
Amanda C Trout
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
954 Avenida Ponce De Leon, Ste 205- Pmb#10600, San Juan, PR 00906
Phone Number
847-275-5961
Primary Taxonomy
Pain Medicine, Interventional Pain Medicine · 208VP0014X
Sole Proprietor
No
Provider Enumeration Date
March 28, 2011
Last Update Date
October 2, 2023
Certification Date
September 29, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
954 Avenida Ponce De Leon
Ste 205- Pmb#10600
San Juan, PR 00906
Zip
00906
Phone Number
847-275-5961
San Juan, PR 00906Get directions →

Provider Business Mailing Address Details

Address
954 Avenida Ponce De Leon
Ste 205- Pmb#10600
San Juan, PR 00906
City
San Juan
State
PR
Zip
00906
Phone Number
847-275-5961

License Information

License Number (1)
Q7802
License State (1)
TX
Taxonomy (1)
Anesthesiology, Pain Medicine · 207LP2900X
License Number (2)
Q7802
License State (2)
TX
Taxonomy (2)
Pain Medicine, Interventional Pain Medicine · 208VP0014X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Amanda C Trout, DO?

The NPI number of Amanda C Trout, DO is 1699074823. It was assigned on March 28, 2011 and is currently active in the NPPES registry.

What is the specialty of Amanda C Trout, DO?

Amanda C Trout, DO is registered under the primary taxonomy Pain Medicine, Interventional Pain Medicine (code 208VP0014X), licensed in TX under license number Q7802.

Where does Amanda C Trout, DO practice?

The practice location is 954 Avenida Ponce De Leon, Ste 205- Pmb#10600, San Juan, PR 00906. The office can be reached at 847-275-5961 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1699074823 directly on the NPPES registry website.

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