| NPI | 1386944437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA CARIDAD ILAR-REVILLA Owner 808-677-5832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: HI 9394) |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2012-10-15 |