Individual
DR. JOSE V BRICENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
449 KAPAHULU AVE STE 104, HONOLULU, HI 96815-3850
(808) 735-0007
Mailing address
449 KAPAHULU AVE STE 104, HONOLULU, HI 96815-3850
(808) 735-0007
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301091019
MI
207Q00000X
Family Medicine Physician
Primary
MD-21626
HI
207Q00000X
Family Medicine Physician
ME106477
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002293100
—
FL
Enumeration date
05/09/2007
Last updated
06/09/2021
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