Organization Active NPI

Flora Medina-Manuel, M.D., Inc.

  • Pediatrics Physician
  • Honolulu, HI
National Provider Identifier
1508513136
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
FLORA MEDINA-MANUEL, M.D., INC.
Practice address
2153 N King St Ste 325
Honolulu, HI 96819-4560
Phone
(808) 845-7173
Fax
(808) 845-7173
NPI assigned
Mar 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Authorized official

Name
Dr. Flora Medina-Manuel, MDNPI 1871665810
Title
President
Phone
(808) 845-7173

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

2153 N King St Ste 325
Honolulu, HI 96819-4560

Mailing address

2153 N King St Ste 325
Honolulu, HI 96819-4560
Phone (808) 845-7173

Other identifiers 1

IdentifierTypeStateIssuer
618738MedicaidHI

National Provider Directory

National Provider Directory

Locations

2153 N King St
Ste 325
Honolulu, HI 96819
Phone (808) 845-7173

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646265600000",
    "number": "1508513136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2153 N KING ST STE 325",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968194560",
            "telephone_number": "808-845-7173",
            "fax_number": "808-841-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2153 N KING ST STE 325",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968194560",
            "telephone_number": "808-845-7173",
            "fax_number": "808-845-7173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORA MEDINA-MANUEL, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-03",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "MEDINA-MANUEL",
        "authorized_official_first_name": "FLORA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-845-7173",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "618738",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; 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.