Provider Demographics
NPI:1932199908
Name:PINA, JOSEPH SERGIO GOMES (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:SERGIO GOMES
Last Name:PINA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1336 KINA ST
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-3724
Mailing Address - Country:US
Mailing Address - Phone:808-261-2521
Mailing Address - Fax:
Practice Address - Street 1:1 JARRETT WHITE RD
Practice Address - Street 2:TRIPLER ARMY MEDICAL CENTER
Practice Address - City:TAMC
Practice Address - State:HI
Practice Address - Zip Code:96859-5001
Practice Address - Country:US
Practice Address - Phone:808-433-5720
Practice Address - Fax:808-433-1555
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-21
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
HI10496207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease