# HAWAII CENTER FOR REGENERATIVE MEDICINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851400634
- **Authorized official:** DR. LIZA ROSELA MANIQUIS-SMIGEL MD (PROVIDER/OWNER)
- **Authorized official phone:** (808) 933-3444

## Contact information

- **Practice address:** 136A ULULANI STREET, HILO, HI 96720-2946
- **Practice address phone:** (808) 933-3444
- **Practice address fax:** (808) 933-3433
- **Mailing address:** 136A ULULANI STREET, HILO, HI 96720-2946
- **Mailing address phone:** (808) 933-3444
- **Mailing address fax:** (808) 933-3433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | MD-10575 | HI | Yes |

## Other

- **Enumeration date:** 08/29/2006
- **Last updated:** 10/13/2016