Provider Demographics
NPI:1558015503
Name:VISAYA, RIZED STEPHEN BILLONES
Entity Type:Individual
Prefix:
First Name:RIZED STEPHEN
Middle Name:BILLONES
Last Name:VISAYA
Suffix:
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 1:94-553 LAENUI ST
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-3863
Mailing Address - Country:US
Mailing Address - Phone:808-469-8264
Mailing Address - Fax:808-676-7919
Practice Address - Street 1:94-553 LAENUI ST
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-3863
Practice Address - Country:US
Practice Address - Phone:808-469-8264
Practice Address - Fax:808-676-7919
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-08
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide