Individual
DR. RODERICK MANIAGO ALFONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
98-1079 MOANALUA RD, AIEA, HI 96701-4713
(347) 927-4284
Mailing address
98-1079 MOANALUA RD, AIEA, HI 96701-4713
(347) 927-4284
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
302354
NY
207P00000X
Emergency Medicine Physician
Primary
MD-20980
HI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2016
Last updated
09/07/2021
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