Provider Demographics
NPI:1659159267
Name:BAPTISTA, FLORELIN
Entity Type:Individual
Prefix:
First Name:FLORELIN
Middle Name:
Last Name:BAPTISTA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94-1075 PALAIKI ST
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-4302
Mailing Address - Country:US
Mailing Address - Phone:808-691-9920
Mailing Address - Fax:808-691-9920
Practice Address - Street 1:94-1075 PALAIKI ST
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-4302
Practice Address - Country:US
Practice Address - Phone:808-691-9920
Practice Address - Fax:808-691-9920
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-15
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI181TXT343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)