MEDICARE: JORGE G CAMARA M D INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QS0132X	Ophthalmologic Surgery Clinic/Center	MD4325	HI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00A0010510	OTHER	HI	HMSA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	9844609	OTHER	HI	UNIVERSITY HEALTH ALLIANC

General Provider Information

NPI Number	:	1609048586
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JORGE G CAMARA M D INC

Provider Business Mailing Address
First Line	:	500 ALA MOANA BLVD
Second Line	:	SUITE 5-300
City	:	HONOLULU
State	:	HI
Zip	:	96813-4990
Country	:	US
Telephone Number	:	808-524-1057
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 ALA MOANA BLVD
Second Line	:	SUITE 5-300
City	:	HONOLULU
State	:	HI
Zip	:	96813-4900
Country	:	US
Telephone Number	:	808-524-1057
Fax Number	:

Authorized Official
Title or Position	:	OPHTHALMOLOGIST
Name	:	DR. JORGE G CAMARA
Credential	:	M.D.,
Telephone Number	:	808-524-1057

Provider Enumeration Date	:	03/31/2008
Last Update Date	:	12/11/2012

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