Individual
RAYNIER CRUZBORROTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
480 CENTRAL AVE, PEARL HARBOR, HI 96860-4908
(808) 257-3365
Mailing address
480 CENTRAL AVE, PEARL HARBOR, HI 96860-4908
(808) 257-3365
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SOCIAL SECURITY
CA
Enumeration date
03/31/2015
Last updated
04/28/2026
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