| Manibusan Services Corporation/pedro A Manibusan Jr, | |
|
321 N Kuakini St Ste 714 Honolulu HI 96817-2362 | |
| (808) 528-3606 | |
| (808) 538-7850 |
| Full Name | Manibusan Services Corporation/pedro A Manibusan Jr, |
|---|---|
| Speciality | Internal Medicine |
| Location | 321 N Kuakini St Ste 714, Honolulu, Hawaii |
| Authorized Official Name and Position | Pedro A Manibusan (MD/OWNER) |
| Authorized Official Contact | 8087413037 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Manibusan Services Corporation/pedro A Manibusan Jr, 95-204 Pahaku Pl Mililani HI 96789-5545 Ph: (808) 741-3037 | Manibusan Services Corporation/pedro A Manibusan Jr, 321 N Kuakini St Ste 714 Honolulu HI 96817-2362 Ph: (808) 528-3606 |
| NPI Number | 1770213233 |
|---|---|
| Provider Enumeration Date | 06/16/2022 |
| Last Update Date | 04/26/2024 |
| Medicare PECOS PAC ID | 3375910292 |
|---|---|
| Medicare Enrollment ID | O20221107002138 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770213233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Pedro Acfalle Manibusan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073799722 PECOS PAC ID: 7719241256 Enrollment ID: I20220429000710 |
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