Provider Demographics
NPI:1225514144
Name:SAMBUENO, PATRICK JR
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:
Last Name:SAMBUENO
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:885 QUEEN ST FL 2
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-5289
Mailing Address - Country:US
Mailing Address - Phone:808-988-8090
Mailing Address - Fax:
Practice Address - Street 1:885 QUEEN ST FL 2
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-5289
Practice Address - Country:US
Practice Address - Phone:808-988-8090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-13
Last Update Date:2018-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator