Individual provider Active NPI

Walter Fermin Macaraig

  • Durable Medical Equipment & Medical Supplies
  • Waipahu, HI
National Provider Identifier
1104996701
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Practice address
94-1063 Haalau St
Waipahu, HI 96797-4540
Phone
(808) 677-8875
Fax
(808) 677-8875
NPI assigned
Nov 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X HI Primary

Addresses

Primary practice location

94-1063 Haalau St
Waipahu, HI 96797-4540

Mailing address

94-1063 Haalau St
Waipahu, HI 96797-4540
Phone (808) 677-8875

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104996701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-1063 HAALAU ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967974540",
            "telephone_number": "808-677-8875",
            "fax_number": "808-677-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-1063 HAALAU ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967974540",
            "telephone_number": "808-677-8875",
            "fax_number": "808-677-8875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACARAIG",
        "first_name": "WALTER",
        "middle_name": "FERMIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "HI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.