Ambrocio, Deryll U

Ambrocio, Deryll U is an individual health care provider with primary practice located at 1329 Lusitana St Suite 804, Honolulu HI 96813-2429. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Ambrocio, Deryll U can be contacted via phone (808) 531-7111.

Contact Information

Primary practice address
1329 Lusitana St Suite 804 Honolulu HI 96813-2429
Phone: (808) 531-7111
Fax: (808) 528-5507
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 0101242738 Virginia
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X MD-15066 Hawaii

Profile Details

NPI number 1730301219
LBN Legal business name Ambrocio, Deryll U
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Aug 27th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730301219 NPPES
Hawaii MEDICAID 635948-01
Hawaii Other 00A0285294

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