Organization Name: | BENEDICTO R. GALINDO, M.D., INC. |
NPI Number: | 1629402060 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BENEDICTO R. GALINDO (PRESIDENT) |
Mailing Address: | 94-366 Pupupani Street Suite 118 Waipahu |
State: | HI US |
Postal Code: | 967972644 |
Phone Number: | 8086760865 |
Fax Number: | 8086761970 |
NPI Enumeration Date: | 08/21/2013 |
NPI Last Update Date: | 08/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD-6605 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |