| West Shore Neurology Llc | |
|
91-2139 Fort Weaver Rd Ste 210 Ewa Beach HI 96706-3609 | |
| (808) 680-0558 | |
| Not Available |
| Full Name | West Shore Neurology Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 91-2139 Fort Weaver Rd Ste 210, Ewa Beach, Hawaii |
| Authorized Official Name and Position | Ray R Romero (PRESIDENT) |
| Authorized Official Contact | 8086800558 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Shore Neurology Llc 91-2139 Fort Weaver Rd Ste 210 Ewa Beach HI 96706-3609 Ph: (808) 680-0558 | West Shore Neurology Llc 91-2139 Fort Weaver Rd Ste 210 Ewa Beach HI 96706-3609 Ph: (808) 680-0558 |
| NPI Number | 1427187335 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7719909357 |
|---|---|
| Medicare Enrollment ID | O20051227000204 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427187335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Ray R Romero |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265487334 PECOS PAC ID: 1456332485 Enrollment ID: I20040526000820 |
| Provider Name | Maria Julieta F Pineda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477781227 PECOS PAC ID: 4587821418 Enrollment ID: I20141208001276 |
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