Provider Demographics
NPI:1306280722
Name:HARRY M. ACUNA, M.D., INC.
Entity type:Organization
Organization Name:HARRY M. ACUNA, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:M
Authorized Official - Last Name:ACUNA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-671-1159
Mailing Address - Street 1:94-216 FARRINGTON HWY
Mailing Address - Street 2:SUITE B2-209
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-1922
Mailing Address - Country:US
Mailing Address - Phone:808-671-1159
Mailing Address - Fax:808-676-3424
Practice Address - Street 1:94-216 FARRINGTON HWY
Practice Address - Street 2:SUITE B2-209
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-1922
Practice Address - Country:US
Practice Address - Phone:808-671-1159
Practice Address - Fax:808-676-3424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-29
Last Update Date:2013-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI07496401Medicaid
HIE72514Medicare UPIN