Provider Demographics
NPI:1679873392
Name:RODRIGUES, MONICA H
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:H
Last Name:RODRIGUES
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 1:86-294 ALAMIHI ST
Mailing Address - Street 2:
Mailing Address - City:WAIANAE
Mailing Address - State:HI
Mailing Address - Zip Code:96792-2911
Mailing Address - Country:US
Mailing Address - Phone:808-542-4543
Mailing Address - Fax:808-626-5676
Practice Address - Street 1:86-294 ALAMIHI ST
Practice Address - Street 2:
Practice Address - City:WAIANAE
Practice Address - State:HI
Practice Address - Zip Code:96792-2911
Practice Address - Country:US
Practice Address - Phone:808-542-4543
Practice Address - Fax:808-626-5676
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-27
Last Update Date:2010-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home