Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 5684 | HI |
NPI | 1417969627 |
---|---|
Provider Name | Dr. Redentor C Rojales |
First Address | Honolulu, HI 96819-3479 |
Second Address | Honolulu, HI 96819-3479 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00969001 | (05) | HI |
F49340 | (02) | HI |