Provider Demographics
NPI:1295613230
Name:ERORITA, EDISON PUMARAS (LMT)
Entity type:Individual
Prefix:MR
First Name:EDISON
Middle Name:PUMARAS
Last Name:ERORITA
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:355 AOLOA ST APT E201
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-3043
Mailing Address - Country:US
Mailing Address - Phone:808-445-5741
Mailing Address - Fax:
Practice Address - Street 1:1010 S KING ST STE 217
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-1703
Practice Address - Country:US
Practice Address - Phone:808-593-7717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-26
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMAT-17342225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist