Provider Demographics
NPI:1326234196
Name:DANELO R CANETE MD INC
Entity Type:Organization
Organization Name:DANELO R CANETE MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANELO
Authorized Official - Middle Name:ROBLE
Authorized Official - Last Name:CANETE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-521-4344
Mailing Address - Street 1:2228 LILIHA ST
Mailing Address - Street 2:SUITE 305
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-1653
Mailing Address - Country:US
Mailing Address - Phone:808-521-4344
Mailing Address - Fax:808-528-1027
Practice Address - Street 1:2228 LILIHA ST
Practice Address - Street 2:SUITE 305
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-1653
Practice Address - Country:US
Practice Address - Phone:808-521-4344
Practice Address - Fax:808-528-1027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-14
Last Update Date:2007-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD 2043207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI03016101Medicaid
HI03016101Medicaid