| Justin Diaz, PT | |
|
94-1420 Kulewa Loop Apt E, Waipahu, HI 96797-4618 | |
| (808) 796-7968 | |
| Not Available |
| Full Name | Justin Diaz |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 94-1420 Kulewa Loop Apt E, Waipahu, Hawaii |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437811692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT-4670 (Hawaii) | Primary |
| Provider Name | Healthpro Heritage Rehab & Fitness Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1952531154 PECOS PAC ID: 6507832573 Enrollment ID: O20160330000839 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Diaz, PT 94-1420 Kulewa Loop Apt E, Waipahu, HI 96797-4618 Ph: (808) 796-7968 | Justin Diaz, PT 94-1420 Kulewa Loop Apt E, Waipahu, HI 96797-4618 Ph: (808) 796-7968 |
Michelle Ann De Salamanca, Physical Therapist Medicare: Medicare Enrolled Practice Location: 94-229 Waipahu Depot St Ste 304, Waipahu, HI 96797 Phone: 808-391-7678 | |
Kris Dianne Guerrero-dar, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 94-216 Farrington Hwy Ste A-102, Waipahu, HI 96797 Phone: 808-600-9148 Fax: 800-942-7053 | |
Mrs. Marja Liisa Lietzan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 94-801 Farrington Hwy, Waipahu Professional Center, Waipahu, HI 96797 Phone: 808-680-9123 Fax: 808-680-9889 | |
Maureen Iris Galvez Dizon, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 94-229 Waipahu Depot St, Ste 304, Waipahu, HI 96797 Phone: 808-391-7678 | |
Mrs. Maile M K Collado, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 94-216 Farrington Hwy # A102, Waipahu, HI 96797 Phone: 808-600-9148 Fax: 800-942-7053 | |
Athena Lynn Lagundi, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 94-229 Waipahu Depot St, Suite 304, Waipahu, HI 96797 Phone: 808-391-7678 | |
Ms. Mary Ann Ramil, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 94-370 Pupupani St, Waipahu, HI 96797 Phone: 808-676-7700 Fax: 808-676-7708 |