Individual
JORGE SIMENTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 JAMES PL, MONROEVILLE, PA 15146-3445
(808) 639-9355
Mailing address
PO BOX 1269, KAPAA, HI 96746-7269
(406) 450-4428
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD11580
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55163105
—
HI
05
—
55163106
—
HI
Enumeration date
07/04/2006
Last updated
10/19/2020
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