| Organization Name: | RODRIGO G. BRISTOL, M.D., INC. |
| NPI Number: | 1053625723 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RODRIGO GOSE BRISTOL (PRESIDENT) |
| Mailing Address: | 634 Kalihi St Honolulu |
| State: | HI US |
| Postal Code: | 968194000 |
| Phone Number: | 8088453911 |
| Fax Number: | 8088480870 |
| NPI Enumeration Date: | 08/04/2010 |
| NPI Last Update Date: | 08/04/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 2213 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |