Organization Active NPI

Buenaventura E. Realica

  • Internal Medicine Physician
  • Waipahu, HI
National Provider Identifier
1295154904
Registry record updated Apr 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1497 Issued in HI
Legal business name
BUENAVENTURA E. REALICA
Practice address
94-239 Waipahu Depot St
Waipahu, HI 96797-3056
Phone
(808) 677-5664
Fax
(808) 677-1010
NPI assigned
Apr 9, 2014
Last updated
Apr 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2014

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

Authorized official

Name
Dr. Buenaventura E Realica
Title
M.D
Phone
(808) 677-5664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1497 HI Primary

Addresses

Primary practice location

94-239 Waipahu Depot St
Waipahu, HI 96797-3056

Mailing address

94-239 Waipahu Depot St
Waipahu, HI 96797-3056
Phone (808) 677-5664

National Provider Directory

National Provider Directory

Locations

94-239 Waipahu Depot St
Waipahu, HI 96797
Phone (808) 671-1000

NPI Registry JSON

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1295154904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-239 WAIPAHU DEPOT ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973056",
            "telephone_number": "808-677-5664",
            "fax_number": "808-677-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-239 WAIPAHU DEPOT ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973056",
            "telephone_number": "808-677-5664",
            "fax_number": "808-677-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUENAVENTURA E. REALICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-09",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "REALICA",
        "authorized_official_first_name": "BUENAVENTURA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "M.D",
        "authorized_official_telephone_number": "808-677-5664",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "1497",
            "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 Apr 9, 2014; 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.