Barranco Trabi Md Llc | |
249 Liliuokalani Ave Apt 403 Honolulu HI 96815-3522 | |
(210) 708-0158 | |
Not Available |
Full Name | Barranco Trabi Md Llc |
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Speciality | Internal Medicine |
Location | 249 Liliuokalani Ave Apt 403, Honolulu, Hawaii |
Authorized Official Name and Position | Javier Jose Barranco-trabi (OWNER) |
Authorized Official Contact | 2107080158 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Barranco Trabi Md Llc 249 Liliuokalani Ave Apt 403 Honolulu HI 96815-3522 Ph: (210) 708-0158 | Barranco Trabi Md Llc 249 Liliuokalani Ave Apt 403 Honolulu HI 96815-3522 Ph: (210) 708-0158 |
NPI Number | 1104525773 |
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Provider Enumeration Date | 03/02/2023 |
Last Update Date | 03/02/2023 |
Medicare PECOS PAC ID | 6204294879 |
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Medicare Enrollment ID | O20230614002894 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104525773 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Javier J Barranco Trabi |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1154959013 PECOS PAC ID: 3274991849 Enrollment ID: I20230719000596 |
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