Dr. Reydominique Lucero Gumboc
Orthopaedic Surgeon Surgery of the Hand Orthopaedic Hand Surgeon
1 Jarrett White Rd Tripler Amc, Dept Of Orthopaedic Surgery
Honolulu
, Hawaii 96589
Dr. Reydominique Lucero Gumboc
Orthopaedic Surgeon Surgery of the Hand Orthopaedic Hand Surgeon
1 Jarrett White Rd Tripler Amc, Dept Of Orthopaedic Surgery
Honolulu
, Hawaii 96589
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About
Features
Specialties
- Orthopaedic Surgeon
- Orthopaedic Hand Surgeon
- Surgery of the Hand
Languages spoken
- English
Location
First Address
- Dr. Reydominique Lucero Gumboc
- 5125 Skyline Rd S
- Salem, OR
- Zip : 97306-9427
- Phone :
Second Address
- Dr. Reydominique Lucero Gumboc
- 1 Jarrett White Rd Tripler Amc, Dept Of Orthopaedic Surgery
- Honolulu, HI
- Zip : 96589
- Phone : (808) 433-3557
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgeon | MDR4859 | HI |
| N | 207XS0106X | Orthopaedic Hand Surgeon | DR.0061450 | CO |
| Y | 2086S0105X | Surgery of the Hand | MD190882 | OR |
National Provider Identifier
| NPI | 1710990403 |
|---|---|
| Provider Name | Dr. Reydominique Lucero Gumboc |
| First Address | Salem, OR 97306-9427 |
| Second Address | Honolulu, HI 96589 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/08/2006 |
| Last Update Date | 04/02/2022 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.