Provider Demographics
NPI:1891835419
Name:CAYABYAB, VICTORIA TORRES (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:TORRES
Last Name:CAYABYAB
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94-519 KUPUNA LOOP
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-1243
Mailing Address - Country:US
Mailing Address - Phone:808-677-9300
Mailing Address - Fax:808-678-3839
Practice Address - Street 1:94-519 KUPUNA LOOP
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-1243
Practice Address - Country:US
Practice Address - Phone:808-677-9300
Practice Address - Fax:808-678-3839
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1821-C172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI559859Medicaid