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General NPI Number Information
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NPI Number | 1154311694
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Entity Type | Individual
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Provider Name | SUZANNE LEI AQUINO MD
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Gender | Female
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Dates
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Enumeration Date | 10/26/2005
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 97 LUMAHAI ST
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City | HONOLULU
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State | HI
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Zip | 96825-2104
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Country | US
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Telephone | 208-416-2932
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Fax | 855-673-9190
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Provider Business Mailing Address
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Address Line | 4040 E CAMELBACK RD STE 250
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City | PHOENIX
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State | AZ
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Zip | 85018-8350
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Country | US
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Telephone | 855-687-7237
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 0101241898
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | T2815
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD-14328
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License Number State | HI
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