Alyssandra Nazareno Baniqued, MD
Individual provider Active NPI Family Medicine Physician · Aiea, HI
NPI 1508553009 · NPPES record last updated Apr 24, 2023
Key facts
- NPI
- 1508553009
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MDR-8492-0 (HI)
- Practice address
- 98-1005 Moanalua Rd SPC 3030
Aiea, HI 96701-4735 - Phone
- (808) 284-9797
- NPI assigned
- Apr 24, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MDR-8492-0 | HI | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MDR-8492-0 | HI | Yes |
Addresses
Primary practice location
98-1005 Moanalua Rd SPC 3030
Aiea, HI 96701-4735
Mailing address
98-1005 Moanalua Rd SPC 3030
Aiea, HI 96701-4735
Other providers in Aiea, HI
- Daphney Baldovi
- Danielle Balfour
- Kimberly Baloran
- Ria Isabela Banez
- Chelsea Bangloy
- Michelle Banks
- Kaila Renee Andrlik Barayuga
- Eric Mark Barbut
- Caryn Elizabeth Barksdale
- Lauren Nicole Barnes
All providers in Aiea, HI · Family Medicine Physician in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.