Healthcare Provider Details

I. General information

NPI: 1184814212
Provider Name (Legal Business Name): ENRIQUE T ONA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2007
Last Update Date: 07/25/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NAT'L KIDNEY&TRANSPLANT INSTITUTE EAST AVENUE
QUEZON CITY PH
1601
PH

IV. Provider business mailing address

16 MALIPAJO STREET VALLE VERDE 3 PASIG CITY
METRO MANILA PH
1600
PH

V. Phone/Fax

Practice location:
  • Phone: 632-924-0135
  • Fax:
Mailing address:
  • Phone: 632-924-0135
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number52710
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: