Active NPI
Renato Quinto Protacio
- Religious Nonmedical Practitioner
- Honolulu, HI
National Provider Identifier
1780177352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Religious Nonmedical Practitioner
- License
- GE-125-946-6752-02
- Practice address
- 198 19TH St
Honolulu, HI 96818-4610 - Phone
- (808) 800-7232
- Fax
- (888) 808-3895
- NPI assigned
- Jun 8, 2018
- 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 |
|---|---|---|---|---|
| Religious Nonmedical Practitioner | 374K00000X | GE-125-946-6752-02 | HI | Primary |
Addresses
Primary practice location
198 19TH St
Honolulu, HI 96818-4610
Mailing address
198 19TH St
Honolulu, HI 96818-4610
Phone (808) 800-7232
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 |
|---|---|---|---|
| GE-125-946-6752-02 | HI | MD | Religious Nonmedical Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528416000000",
"number": "1780177352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "198 19TH ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968184610",
"telephone_number": "808-800-7232",
"fax_number": "888-808-3895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "198 19TH ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968184610",
"telephone_number": "808-800-7232",
"fax_number": "888-808-3895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROTACIO",
"first_name": "RENATO",
"middle_name": "QUINTO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-08",
"last_updated": "2018-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "374K00000X",
"taxonomy_group": "",
"desc": "Religious Nonmedical Practitioner",
"state": "HI",
"license": "GE-125-946-6752-02",
"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 Jun 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.