Provider Demographics
NPI:1518974021
Name:MINATOYA, CARL T (MD)
Entity Type:Individual
Prefix:DR
First Name:CARL
Middle Name:T
Last Name:MINATOYA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1003 PENSACOLA ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-1927
Mailing Address - Country:US
Mailing Address - Phone:808-597-1133
Mailing Address - Fax:808-596-0251
Practice Address - Street 1:1003 PENSACOLA ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-1927
Practice Address - Country:US
Practice Address - Phone:808-597-1133
Practice Address - Fax:808-596-0251
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2007-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD4843207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
16956OtherHMSA
194047OtherSUMMERLIN
MD4843OtherMDX
1231750001OtherDMERC
19404701OtherHMA INC
194047OtherSUMMERLIN
19404701OtherHMA INC