Active NPI
George Ermano Raquel, D. C.
- Rehabilitation Chiropractor
- Waipahu, HI
National Provider Identifier
1356425532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 815
- Practice address
- 94-216 Farrington Hwy Ste B1-3
Waipahu, HI 96797-1900 - Phone
- (808) 676-1717
- Fax
- (808) 678-1122
- NPI assigned
- Oct 25, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 815 | HI | Primary |
Addresses
Primary practice location
94-216 Farrington Hwy Ste B1-3
Waipahu, HI 96797-1900
Mailing address
94-216 Farrington Hwy Ste B1-3
Waipahu, HI 96797-1900
Phone (808) 676-1717
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 815 | HI | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miranda Family Chiropractic LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Kailua Kona, HI
- NPI 1093906729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356425532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94-216 FARRINGTON HWY STE B1-3",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967971900",
"telephone_number": "808-676-1717",
"fax_number": "808-678-1122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94-216 FARRINGTON HWY STE B1-3",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967971900",
"telephone_number": "808-676-1717",
"fax_number": "808-678-1122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAQUEL",
"first_name": "GEORGE",
"middle_name": "ERMANO",
"name_prefix": "Dr.",
"credential": "D. C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "HI",
"license": "815",
"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.