| Organization Name: | CARLOS R. ABEYTA MD, LLC |
| NPI Number: | 1023368610 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CARLOS R ABEYTA (MANAGER) |
| Mailing Address: | 82 Puuhonu Pl Suite 206 Hilo |
| State: | HI US |
| Postal Code: | 967202010 |
| Phone Number: | 8089699888 |
| Fax Number: | 8089699881 |
| NPI Enumeration Date: | 09/12/2012 |
| NPI Last Update Date: | 09/12/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 10054 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |