Active NPI
Benilda Castillo Luz, M.D.
- Pediatrics Physician
- Waipahu, HI
National Provider Identifier
1699884304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD10185
- Practice address
- 94-307 Farrington Hwy
Ste. B3
Waipahu, HI 96797-2565 - Phone
- (808) 677-5022
- Fax
- (808) 677-8702
- NPI assigned
- Aug 29, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD10185 | HI | Primary |
Addresses
Primary practice location
94-307 Farrington Hwy
Ste. B3
Waipahu, HI 96797-2565
Mailing address
94-307 Farrington Hwy
Ste. B3
Waipahu, HI 96797-2565
Phone (808) 677-5022
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002398 | Medicaid | HI |
Other names 1
- Dr. Benilda Castillo Luz-Llena
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD10185 | HI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benilda C. Luz-Llena, M.D. Inc. | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- benilda.luzllena@37770914103300.direct.elationemr.com
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.
-
- Pediatrics Physician
- Waipahu, HI
- NPI 1922278969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699884304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94-307 FARRINGTON HWY",
"address_2": "STE. B3",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967972565",
"telephone_number": "808-677-5022",
"fax_number": "808-677-8702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94-307 FARRINGTON HWY",
"address_2": "STE. B3",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967972565",
"telephone_number": "808-677-5022",
"fax_number": "808-677-8702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUZ",
"first_name": "BENILDA",
"middle_name": "CASTILLO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "HI",
"license": "MD10185",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002398",
"state": "HI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BENILDA",
"last_name": "LUZ-LLENA",
"middle_name": "CASTILLO",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
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.