Organization Active NPI

Daniel Gallares MD LLC

  • Internal Medicine Physician
  • Hilo, HI
National Provider Identifier
1326600735
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DANIEL GALLARES MD LLC
Practice address
70 Olona St
Hilo, HI 96720-5017
Phone
(808) 731-4949
NPI assigned
Jul 5, 2019
Last updated
Feb 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Authorized official

Name
Daniel Gallares, MD
Title
President
Phone
(619) 993-6950

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary
Primary Care Clinic/Center 261QP2300X NU

Addresses

Primary practice location

70 Olona St
Hilo, HI 96720-5017

Mailing address

PO Box 235061
Honolulu, HI 96823-3501
Phone (619) 993-6950

Other practice location 1

848 S Beretania St Ste 408
Honolulu, HI 96813-2551
Phone (619) 993-6950

Other practice location 2

94-837 Waipahu St
Waipahu, HI 96797-3320
Phone (808) 671-3911

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1562284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614038400000",
    "number": "1326600735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 235061",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968233501",
            "telephone_number": "619-993-6950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 OLONA ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967205017",
            "telephone_number": "808-731-4949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "848 S Beretania St Ste 408",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968132551",
            "country_code": "US",
            "telephone_number": "619-993-6950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "94-837 Waipahu St",
            "address_purpose": "LOCATION",
            "city": "Waipahu",
            "state": "HI",
            "postal_code": "967973320",
            "country_code": "US",
            "telephone_number": "808-671-3911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DANIEL GALLARES MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-05",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A",
        "authorized_official_last_name": "GALLARES",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-993-6950",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Feb 23, 2021; 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.