Provider Demographics
NPI:1326091224
Name:ALMEIDA, JOSE TANTOCO (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:TANTOCO
Last Name:ALMEIDA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:JOSE
Other - Middle Name:TANTOCO
Other - Last Name:ALMEIDA
Other - Suffix:JR
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:94-673 KUPUOHI ST
Mailing Address - Street 2:SUITE C-201
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-5367
Mailing Address - Country:US
Mailing Address - Phone:808-983-1671
Mailing Address - Fax:808-983-1676
Practice Address - Street 1:94-673 KUPUOHI ST
Practice Address - Street 2:SUITE 201C
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-5367
Practice Address - Country:US
Practice Address - Phone:808-387-9477
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2013-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD13379207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI56875103Medicaid
HI56875104Medicaid
HIE20206Medicare UPIN
HI56875104Medicaid
HI56875103Medicaid