Healthcare Provider Details

I. General information

NPI: 1639223209
Provider Name (Legal Business Name): VICENTE S RAMO MD PC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 07/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

634 KALIHI ST #201
HONOLULU HI
96819
US

IV. Provider business mailing address

634 KALIHI ST #201
HONOLULU HI
96819-4063
US

V. Phone/Fax

Practice location:
  • Phone: 808-841-7288
  • Fax: 808-841-8841
Mailing address:
  • Phone: 808-841-7288
  • Fax: 808-841-8841

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number10117
License Number StateHI

VIII. Authorized Official

Name: DR. VICENTE S RAMO JR.
Title or Position: PRESIDENT
Credential: M.D.
Phone: 808-841-7288