Provider Demographics
NPI:1588390363
Name:AGUINALDO, MICHAEL JAMES TAPEL
Entity type:Individual
Prefix:
First Name:MICHAEL JAMES
Middle Name:TAPEL
Last Name:AGUINALDO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1596 KAWELOKA ST
Mailing Address - Street 2:
Mailing Address - City:PEARL CITY
Mailing Address - State:HI
Mailing Address - Zip Code:96782-1517
Mailing Address - Country:US
Mailing Address - Phone:808-670-8730
Mailing Address - Fax:808-425-5033
Practice Address - Street 1:1596 KAWELOKA ST
Practice Address - Street 2:
Practice Address - City:PEARL CITY
Practice Address - State:HI
Practice Address - Zip Code:96782-1517
Practice Address - Country:US
Practice Address - Phone:808-670-8730
Practice Address - Fax:808-425-5033
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-25
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide