MEDICARE: DR. JOSE ENRIQUE MOLINA NMD

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	175F00000X	Naturopath	ND-371-0	HI
2	175F00000X	Naturopath	18-1711	AZ

General Provider Information

NPI Number	:	1669965455
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSE ENRIQUE MOLINA NMD

Provider Business Mailing Address
First Line	:	2824 KIHEI PL APT B
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96816-1321
Country	:	US
Telephone Number	:	808-470-8991
Fax Number	:	808-470-8991

Provider Business Practice Location Address
First Line	:	2824 KIHEI PL APT B
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96816-1321
Country	:	US
Telephone Number	:	808-470-8991
Fax Number	:	84-708-9918

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

Provider Enumeration Date	:	06/07/2018
Last Update Date	:	03/19/2025

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