Provider Demographics
NPI:1184989030
Name:NESTOR I.C. DEL ROSARIO MD INC.
Entity type:Organization
Organization Name:NESTOR I.C. DEL ROSARIO MD INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:NESTOR ISIDRO
Authorized Official - Middle Name:CONCEPCION
Authorized Official - Last Name:DEL ROSARIO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-671-5681
Mailing Address - Street 1:94-939 KAHUAILANI ST
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-3326
Mailing Address - Country:US
Mailing Address - Phone:808-671-5681
Mailing Address - Fax:808-671-5276
Practice Address - Street 1:94-939 KAHUAILANI ST
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-3326
Practice Address - Country:US
Practice Address - Phone:808-671-5681
Practice Address - Fax:808-671-5276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-06
Last Update Date:2013-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Multi-Specialty