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NPI Code Detail

MEDICARE: ADELINA T CABREROS-BAKER

MEDICARE:   ADELINA T CABREROS-BAKER
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
1207L00000XAnesthesiology PhysicianMD-11044HI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1A021OTHERCHAMPUS TRICARE
2496283-01OTHERACS
30000221507OTHERHMSA

General Provider Information

NPI Number : 1588608368
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADELINA T CABREROS-BAKER
Provider Business Mailing Address
First Line : 33 KAMALEI CIR
Second Line :
City : KAHULUI
State : HI
Zip : 96732-3200
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1360 S BERETANIA ST
Second Line : #215
City : HONOLULU
State : HI
Zip : 96814-1520
Country : US
Telephone Number : 808-532-3711
Fax Number : 808-532-3713
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2006
Last Update Date : 07/08/2007

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Directions to “ ADELINA T CABREROS-BAKER ” Practice Location

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