Organization
HAWAII CENTER FOR REGENERATIVE MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LIZA ROSELA MANIQUIS-SMIGEL MD (PROVIDER/OWNER)
(808) 933-3444
Entity
Organization
Contact information
Practice address
136A ULULANI STREET, HILO, HI 96720-2946
(808) 933-3444
(808) 933-3433
Mailing address
136A ULULANI STREET, HILO, HI 96720-2946
(808) 933-3444
(808) 933-3433
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD-10575
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C022405-9
HAWAII MEDICAL SVC ASSOC
HI
05
—
248808-02
—
HI
01
—
362562300
ACS
HI
Enumeration date
08/29/2006
Last updated
10/13/2016
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