Provider Demographics
NPI:1184648545
Name:MACAPAGAL, MARICRIS HERNANDEZ (DMD)
Entity Type:Individual
Prefix:DR
First Name:MARICRIS
Middle Name:HERNANDEZ
Last Name:MACAPAGAL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 PIIKOI STREET
Mailing Address - Street 2:STE. 1806
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814
Mailing Address - Country:US
Mailing Address - Phone:808-597-1777
Mailing Address - Fax:808-597-1619
Practice Address - Street 1:615 PIIKOI ST
Practice Address - Street 2:STE. 1806
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-3116
Practice Address - Country:US
Practice Address - Phone:808-597-1777
Practice Address - Fax:808-597-1619
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDT20021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice