# PACIFIC RIM CARDIOVASCULAR INC

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

## Provider details

- **NPI number:** 1891013199
- **Authorized official:** DR. ROBERT RANDOLPH WATERFORD MD (PRESIDENT)
- **Authorized official phone:** (808) 268-5789

## Contact information

- **Practice address:** 385 HUKILIKE ST., SUITE 210, KAHULUI, HI 96732
- **Practice address phone:** (808) 871-8346
- **Mailing address:** PO BOX 923, WAILUKU, HI 96793-0923
- **Mailing address phone:** (808) 268-5789

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 15055 | HI | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 15055 | HI | Yes |

## Other

- **Enumeration date:** 05/11/2010
- **Last updated:** 02/20/2013