Healthcare Provider Details

I. General information

NPI: 1609048586
Provider Name (Legal Business Name): JORGE G CAMARA M D INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2008
Last Update Date: 12/11/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 ALA MOANA BLVD SUITE 5-300
HONOLULU HI
96813-4900
US

IV. Provider business mailing address

500 ALA MOANA BLVD SUITE 5-300
HONOLULU HI
96813-4990
US

V. Phone/Fax

Practice location:
  • Phone: 808-524-1057
  • Fax:
Mailing address:
  • Phone: 808-524-1057
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS0132X
TaxonomyOphthalmologic Surgery Clinic/Center
License NumberMD4325
License Number StateHI

VIII. Authorized Official

Name: DR. JORGE G CAMARA
Title or Position: OPHTHALMOLOGIST
Credential: M.D.,
Phone: 808-524-1057