MEDICARE: MRS. ESTRELITA AURELIO DOCTOR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376K00000X	Nurse's Aide	127766400699E	HI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073650073
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ESTRELITA AURELIO DOCTOR

Provider Business Mailing Address
First Line	:	2516 ROSE ST
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96819-2449
Country	:	US
Telephone Number	:	808-847-4706
Fax Number	:	808-847-4708

Provider Business Practice Location Address
First Line	:	2516 ROSE ST
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96819-2449
Country	:	US
Telephone Number	:	808-847-4706
Fax Number	:	808-847-4708

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2007
Last Update Date	:	07/08/2007

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