Provider Demographics
NPI:1598869067
Name:RAGUNTON, LUIS J (MD)
Entity Type:Individual
Prefix:DR
First Name:LUIS
Middle Name:J
Last Name:RAGUNTON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:98-1079 MOANALUA RD
Mailing Address - Street 2:SUITE 440
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-4713
Mailing Address - Country:US
Mailing Address - Phone:808-488-8750
Mailing Address - Fax:808-488-8266
Practice Address - Street 1:98-1079 MOANALUA RD
Practice Address - Street 2:SUITE 440
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-4713
Practice Address - Country:US
Practice Address - Phone:808-488-8750
Practice Address - Fax:808-488-8266
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
HI5026207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIC98598Medicare UPIN