Provider Demographics
NPI:1740337203
Name:MABINI, MARIA ROSARIO GERVACIO (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA ROSARIO
Middle Name:GERVACIO
Last Name:MABINI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 235227
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96823-3503
Mailing Address - Country:US
Mailing Address - Phone:808-393-8456
Mailing Address - Fax:808-676-5890
Practice Address - Street 1:1833 KALAKAUA AVE STE 206
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96815-1500
Practice Address - Country:US
Practice Address - Phone:808-393-8456
Practice Address - Fax:808-676-5890
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-199872084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI571259 01Medicaid
HIMD-19987OtherMEDICAL LICENSE