Provider Demographics
NPI:1639236243
Name:ONA, CELIA MERCADO (MD)
Entity Type:Individual
Prefix:DR
First Name:CELIA
Middle Name:MERCADO
Last Name:ONA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 235913
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96823-3517
Mailing Address - Country:US
Mailing Address - Phone:808-671-8511
Mailing Address - Fax:808-677-2570
Practice Address - Street 1:91-2301 FORT WEAVER RD
Practice Address - Street 2:
Practice Address - City:EWA BEACH
Practice Address - State:HI
Practice Address - Zip Code:96706-3602
Practice Address - Country:US
Practice Address - Phone:808-671-8511
Practice Address - Fax:808-677-2570
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD104382084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI078161OtherUNIVERSITY HEALTH ALLIANC
HI252394-01Medicaid
HI990298651-96706-E049OtherTRICARE
HI252394OtherALOHACARE
HIMD10438-01OtherMDX HAWAII
HI078161OtherUNIVERSITY HEALTH ALLIANC
HI252394OtherALOHACARE