Healthcare Provider Details

I. General information

NPI: 1750564183
Provider Name (Legal Business Name): HAWAII MEDICAL CENTER EAST, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2007
Last Update Date: 12/07/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2230 LILIHA ST
HONOLULU HI
96817-1646
US

IV. Provider business mailing address

PO BOX 29840
HONOLULU HI
96820-2240
US

V. Phone/Fax

Practice location:
  • Phone: 808-547-6000
  • Fax:
Mailing address:
  • Phone: 808-547-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: DR. DANELO CANETE
Title or Position: CEO
Credential: M.D.
Phone: 808-547-6000