| Edward A. Alquero, M.d., Inc. | |
|
94-141 Pupupuhi St Waipahu HI 96797-2510 | |
| (808) 676-2271 | |
| Not Available |
| Full Name | Edward A. Alquero, M.d., Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 94-141 Pupupuhi St, Waipahu, Hawaii |
| Authorized Official Name and Position | Edward A Alquero (PHYSICIAN/PRESIDENT) |
| Authorized Official Contact | 8086762271 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward A. Alquero, M.d., Inc. 94-141 Pupupuhi St Waipahu HI 96797-2510 Ph: (808) 676-2271 | Edward A. Alquero, M.d., Inc. 94-141 Pupupuhi St Waipahu HI 96797-2510 Ph: (808) 676-2271 |
| NPI Number | 1710168265 |
|---|---|
| Provider Enumeration Date | 11/26/2007 |
| Last Update Date | 11/26/2007 |
| Medicare PECOS PAC ID | 6507756905 |
|---|---|
| Medicare Enrollment ID | O20040318001063 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710168265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Edward A Alquero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578610168 PECOS PAC ID: 5395635791 Enrollment ID: I20120508000594 |
| Provider Name | Estela A Ruiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174874432 PECOS PAC ID: 5890928212 Enrollment ID: I20140508001533 |
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