Healthcare Provider Details

I. General information

NPI: 1821100736
Provider Name (Legal Business Name): DANELO CANETE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 03/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2226 LILIHA ST #302
HONOLULU HI
96817-1600
US

IV. Provider business mailing address

1834 NUUANU AVE #203
HONOLULU HI
96817-2427
US

V. Phone/Fax

Practice location:
  • Phone: 808-521-4344
  • Fax: 808-528-1027
Mailing address:
  • Phone: 808-521-4344
  • Fax: 808-528-1027

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number2043
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: