Healthcare Provider Details

I. General information

NPI: 1255597514
Provider Name (Legal Business Name): ROBERTO'S GROUP INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2008
Last Update Date: 01/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

819 MOOWAA ST SUITE 114
HONOLULU HI
96817-4431
US

IV. Provider business mailing address

819 MOOWAA ST SUITE #114
HONOLULU HI
96817-4431
US

V. Phone/Fax

Practice location:
  • Phone: 808-853-1688
  • Fax: 808-853-1690
Mailing address:
  • Phone: 808-853-1688
  • Fax: 808-853-1690

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. JORGE SIU
Title or Position: CEO
Credential:
Phone: 808-853-1688