Individual
FORTUNATO V ELIZAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1712 LILIHA ST, SUITE 306, HONOLULU, HI 96817-3114
(808) 524-1144
(808) 531-0718
Mailing address
1712 LILIHA ST, STE 306, HONOLULU, HI 96817-3114
(808) 524-1144
(808) 531-0718
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
175500000X
HI
Other
Enumeration date
04/25/2008
Last updated
02/05/2025
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