Doctor Name: | MR. SEAN VINCENT CORTADO |
NPI Number: | 1942452388 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | NONE |
License Number: | W81270679-01 |
Business Practice Address: | 94-260 Waipahu Depot St Waipahu, HI - 967973009 |
Business Phone Number: | 8083982744 |
Business Fax Number: | 8086788180 |
Mailing Address: | Po Box 303, PEARL CITY |
State: | HI |
Postal Code: | 967820303 |
Phone Number: | 8083982744 |
Fax Number: | 8086788180 |
NPI Enumeration Date: | 10/16/2008 |
NPI Last Update Date: | 10/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | W81270679-01 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |