Active NPI
Enrico Deleon Timario
- Registered Nurse
- Honolulu, HI
National Provider Identifier
1750934782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 79933
- Practice address
- 1002A Prospect St Apt 34
Honolulu, HI 96822-3478 - Phone
- (808) 489-0037
- NPI assigned
- Jul 18, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 79933 | HI | Primary |
Addresses
Primary practice location
1002A Prospect St Apt 34
Honolulu, HI 96822-3478
Mailing address
1002A Prospect St Apt 34
Honolulu, HI 96822-3478
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79933 | HI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563408000000",
"number": "1750934782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002A PROSPECT ST APT 34",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968223478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002A PROSPECT ST APT 34",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968223478",
"telephone_number": "808-489-0037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIMARIO",
"first_name": "ENRICO",
"middle_name": "DELEON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-18",
"last_updated": "2019-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "HI",
"license": "79933",
"primary": true
}
],
"identifiers": [],
"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 Jul 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.