Individual
IDALEE PIA CABALLERO POSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
45-549 PLUMERIA ST, HONOKAA, HI 96727-6902
(808) 775-7204
(808) 775-9404
Mailing address
45-549 PLUMERIA ST, HONOKAA, HI 96727-6902
(808) 775-7204
(808) 775-7204
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD-18468
HI
207Q00000X
Family Medicine Physician
MD25436
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E12536
CONTROLLED SUBSTANCES
HI
01
—
MD-18468
STATE LICENSE
HI
01
—
MD25436
STATE LICENSE
OR
Enumeration date
05/05/2006
Last updated
03/07/2023
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