Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NX0800X | Chiropractor Orthopedic Specialist | MD3931 | HI |
Y | 207X00000X | Orthopaedic Surgeon | MD3931 | HI |
NPI | 1629012919 |
---|---|
Provider Name | Dr. Antonio Borromeo Cordero |
First Address | Honolulu, HI 96817 |
Second Address | Honolulu, HI 96817 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2006 |
Last Update Date | 21/01/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
046551 | (05) | HI |
04655101 | (05) | HI |
D36101 | (02) | HI |