Healthcare Provider Details
I. General information
NPI: 1760239446
Provider Name (Legal Business Name): REDENTOR C. ROJALES, M.D. LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/01/2024
Last Update Date: 05/01/2024
Certification Date: 04/29/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2119 N KING ST STE 103
HONOLULU HI
96819-4550
US
IV. Provider business mailing address
2119 N KING ST STE 103
HONOLULU HI
96819-4550
US
V. Phone/Fax
- Phone: 808-842-9113
- Fax: 808-843-1642
- Phone: 808-842-9113
- Fax: 808-843-1642
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VX0000X |
| Taxonomy | Obstetrics Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
REDENTOR
CENA
ROJALES
Title or Position: OB GYNECOLOGY
Credential: MD
Phone: 808-842-9113