1235465840 NPI number — MR. EUGINE ALBERT TRANSFIGURACION GANIR SR. CNA

Table of content: MR. EUGINE ALBERT TRANSFIGURACION GANIR SR. CNA (NPI 1235465840)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235465840 NPI number — MR. EUGINE ALBERT TRANSFIGURACION GANIR SR. CNA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GANIR
Provider First Name:
EUGINE ALBERT
Provider Middle Name:
TRANSFIGURACION
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
SR.
Provider Credential Text:
CNA
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
GANIR
Provider Other First Name:
EUGINE ALBERT
Provider Other Middle Name:
TRANFIGURACION
Provider Other Name Prefix Text:
MR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
CNA
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1235465840
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/02/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1527 MEYERS ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HONOLULU
Provider Business Mailing Address State Name:
HI
Provider Business Mailing Address Postal Code:
96819-2514
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
808-845-1450
Provider Business Mailing Address Fax Number:
808-845-1782

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1527 MEYERS ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96819-2514
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-845-1450
Provider Business Practice Location Address Fax Number:
808-845-1782
Provider Enumeration Date:
11/02/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 376K00000X , with the licence number:  126595301199E , registered in the state of HI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)