Healthcare Provider Details

I. General information

NPI: 1225086259
Provider Name (Legal Business Name): NARO LUKE TORRES M.D. , F.A.A.P.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

579 FARRINGTON HWY SUITE 203
KAPOLEI HI
96707-2027
US

IV. Provider business mailing address

579 FARRINGTON HWY SUITE 203
KAPOLEI HI
96707-2027
US

V. Phone/Fax

Practice location:
  • Phone: 808-674-2555
  • Fax: 808-674-2988
Mailing address:
  • Phone: 808-674-2555
  • Fax: 808-674-2988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License Number9969
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: