Provider Demographics
NPI:1760618854
Name:MICHAEL RUFINO, RPT LLC
Entity Type:Organization
Organization Name:MICHAEL RUFINO, RPT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/SOLE PRACTICE
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:RUFINO
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:808-230-2359
Mailing Address - Street 1:150 HAMAKUA DR # 418
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-2825
Mailing Address - Country:US
Mailing Address - Phone:808-230-2359
Mailing Address - Fax:808-230-2375
Practice Address - Street 1:30 AULIKE ST
Practice Address - Street 2:KAILUA PROFESSIONAL CENTER, SUITE 201
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2739
Practice Address - Country:US
Practice Address - Phone:808-230-2359
Practice Address - Fax:808-230-2375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-03
Last Update Date:2009-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1844 HI225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIH54142 HIMedicare PIN