Provider Demographics
NPI:1932762267
Name:BORJA, MONICA SAGUCIO
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:SAGUCIO
Last Name:BORJA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94-302 PAIWA ST APT 612
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-3669
Mailing Address - Country:US
Mailing Address - Phone:808-445-1938
Mailing Address - Fax:
Practice Address - Street 1:94-302 PAIWA ST APT 612
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-3669
Practice Address - Country:US
Practice Address - Phone:808-445-1938
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-22
Last Update Date:2019-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI89391163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool