| Doctor Name: | MEYNARD VILLENAS ENRIQUEZ |
| NPI Number: | 1689651002 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | PT 29450 |
| Business Practice Address: | 3088a Aukele St Lihue, HI - 967661464 |
| Business Phone Number: | 8086320033 |
| Business Fax Number: | |
| Mailing Address: | Po Box 288, LIHUE |
| State: | HI |
| Postal Code: | 967660288 |
| Phone Number: | 8086347055 |
| Fax Number: | |
| NPI Enumeration Date: | 12/28/2005 |
| NPI Last Update Date: | 03/31/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | PT 29450 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |