Healthcare Provider Details

I. General information

NPI: 1982214755
Provider Name (Legal Business Name): ANDREA SOTOLONGO HEARING SPECIALIST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2020
Last Update Date: 10/07/2020
Certification Date: 10/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1003 BISHOP ST STE 2700
HONOLULU HI
96813-6475
US

IV. Provider business mailing address

1296 KAPIOLANI BLVD APT 1806
HONOLULU HI
96814-2882
US

V. Phone/Fax

Practice location:
  • Phone: 800-346-4112
  • Fax:
Mailing address:
  • Phone: 305-781-4655
  • Fax: 844-880-0651

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number2101002395
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHA-308
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: