Individual
DR. ALLAN LIM RECTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1190 WAIANUENUE AVE, HILO, HI 96720
(212) 729-8556
(956) 795-8558
Mailing address
1190 WAIANUENUE AVE, HILO, HI 96720
(212) 729-8556
(956) 795-8558
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
K9880
TX
208000000X
Pediatrics Physician
Primary
MD-22958-0
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037592503
—
TX
01
—
753018505
TAX ID
TX
Enumeration date
10/27/2006
Last updated
02/09/2023
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