| Waikoloa Medical Arts, Inc. | |
|
64-1035 Mamalahoa Hwy Suite K Kamuela HI 96743-8440 | |
| (808) 883-9785 | |
| (808) 883-9783 |
| Full Name | Waikoloa Medical Arts, Inc. |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 64-1035 Mamalahoa Hwy, Kamuela, Hawaii |
| Authorized Official Name and Position | Bayardo Jose Aviles (ADMINISTRATOR) |
| Authorized Official Contact | 8089605792 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waikoloa Medical Arts, Inc. 64-1035 Mamalahoa Hwy Suite K Kamuela HI 96743-8440 Ph: (808) 883-9785 | Waikoloa Medical Arts, Inc. 64-1035 Mamalahoa Hwy Suite K Kamuela HI 96743-8440 Ph: (808) 883-9785 |
| NPI Number | 1366514291 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 02/16/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366514291 | NPI | - | NPPES |
| 00A0088581 | Other | HI | HMSA BCBS HAWAII |
| 06811102 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | MD7441 (Hawaii) | Primary |
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