| Metabolic Care Center | |
|
1360 S Beretania St Ste 500 Honolulu HI 96814-1520 | |
| (808) 210-4444 | |
| (808) 210-5505 |
| Full Name | Metabolic Care Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 1360 S Beretania St Ste 500, Honolulu, Hawaii |
| Authorized Official Name and Position | Marc Pierre Desgraves (PRESIDENT) |
| Authorized Official Contact | 9727433935 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Metabolic Care Center 1360 S Beretania St Ste 500 Honolulu HI 96814-1520 Ph: (808) 210-4444 | Metabolic Care Center 1360 S Beretania St Ste 500 Honolulu HI 96814-1520 Ph: (808) 210-4444 |
| NPI Number | 1316628738 |
|---|---|
| Provider Enumeration Date | 07/27/2023 |
| Last Update Date | 09/05/2023 |
| Medicare PECOS PAC ID | 5496119224 |
|---|---|
| Medicare Enrollment ID | O20230913000972 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316628738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Richard A Ridao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730122060 PECOS PAC ID: 6507889839 Enrollment ID: I20060112000315 |
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