Active NPI
Dana Angel Alonzo, LMT
- Contractor
- Hilo, HI
National Provider Identifier
1285759100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 5714
- Practice address
- 90 Kamehameha Ave
Suite #10
Hilo, HI 96720-2832 - Phone
- (808) 936-1075
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 5714 | HI | Primary |
Addresses
Primary practice location
90 Kamehameha Ave
Suite #10
Hilo, HI 96720-2832
Mailing address
17-251 Hwy 11
Kurtistown, HI 96760-0191
Phone (808) 966-5052
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5714 | HI | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285759100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17-251 HWY 11",
"city": "KURTISTOWN",
"state": "HI",
"postal_code": "967600191",
"telephone_number": "808-966-5052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 KAMEHAMEHA AVE",
"address_2": "SUITE #10",
"city": "HILO",
"state": "HI",
"postal_code": "967202832",
"telephone_number": "808-936-1075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALONZO",
"first_name": "DANA",
"middle_name": "ANGEL",
"name_prefix": "Miss",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "HI",
"license": "5714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hilo, 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.