Provider Demographics
NPI:1669965455
Name:MOLINA, JOSE ENRIQUE (NMD)
Entity type:Individual
Prefix:DR
First Name:JOSE
Middle Name:ENRIQUE
Last Name:MOLINA
Suffix:
Gender:
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2824 KIHEI PL APT B
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-1321
Mailing Address - Country:US
Mailing Address - Phone:808-470-8991
Mailing Address - Fax:808-470-8991
Practice Address - Street 1:2824 KIHEI PL APT B
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-1321
Practice Address - Country:US
Practice Address - Phone:808-470-8991
Practice Address - Fax:084-708-9918
Is Sole Proprietor?:No
Enumeration Date:2018-06-07
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIND-371-0175F00000X
AZ18-1711175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath