Healthcare Provider Details

I. General information

NPI: 1194746784
Provider Name (Legal Business Name): DENNIS HENRY ALVARO PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1329 LUSITANA ST SUITE 707
HONOLULU HI
96813-2429
US

IV. Provider business mailing address

1329 LUSITANA ST SUITE 707
HONOLULU HI
96813-2429
US

V. Phone/Fax

Practice location:
  • Phone: 808-536-7327
  • Fax: 808-536-2513
Mailing address:
  • Phone: 808-536-7327
  • Fax: 808-536-2513

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberAMD 30
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: