Provider Demographics
NPI:1508210071
Name:ALCAIN, ALFREDO JR
Entity Type:Individual
Prefix:
First Name:ALFREDO
Middle Name:
Last Name:ALCAIN
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 1:1807 N KING ST STE 201
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96819-3447
Mailing Address - Country:US
Mailing Address - Phone:808-841-7083
Mailing Address - Fax:808-842-4648
Practice Address - Street 1:1807 N KING ST STE 201
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819-3447
Practice Address - Country:US
Practice Address - Phone:808-841-7083
Practice Address - Fax:808-842-4648
Is Sole Proprietor?:No
Enumeration Date:2016-04-20
Last Update Date:2017-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HILMT-2201172M00000X
HILMT-4597172M00000X
HILMT-6991172M00000X
HILMT-5879172M00000X
HIL.A.C - 4597171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist
No171100000XOther Service ProvidersAcupuncturist