IndividualActive
Amanda Trout, D.O.
NPI 1699074823 · Interventional Pain Medicine Physician · San Juan, PR
Provider details
- NPI number
- 1699074823
- Entity type
- Individual
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- License
- Q7802 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
954 Avenida Ponce De Leon
Ste 205- Pmb#10600
San Juan, PR 00906
Phone: (847) 275-5961
Mailing address
954 Avenida Ponce De Leon
San Juan, PR 00906
Registry dates
- Enumerated
- 2011-03-28
- Last updated
- 2023-10-02
- Certified
- 2023-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.