Organization Active NPI

Luukia Ruidas, MD LLC

  • Primary Care Clinic/Center
  • Kahului, HI
National Provider Identifier
1902152747
Registry record updated Aug 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
13060 Issued in HI
Legal business name
LUUKIA RUIDAS, MD LLC
Practice address
135 S Wakea Ave
#111
Kahului, HI 96732-1385
Phone
(808) 877-6611
Fax
(808) 871-8180
NPI assigned
Jul 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2015

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

Authorized official

Name
Dr. Luukia Ruidas
Title
Owner
Phone
(808) 877-6611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 13060 HI Primary

Addresses

Primary practice location

135 S Wakea Ave
#111
Kahului, HI 96732-1385

Mailing address

135 S Wakea Ave
#111
Kahului, HI 96732-1385
Phone (808) 877-6611

National Provider Directory

National Provider Directory

Locations

53 S Puunene Ave
Ste 103
Kahului, HI 96732
Phone (808) 877-6611

NPI Registry JSON

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440633600000",
    "number": "1902152747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 S WAKEA AVE",
            "address_2": "#111",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967321385",
            "telephone_number": "808-877-6611",
            "fax_number": "808-871-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 S WAKEA AVE",
            "address_2": "#111",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967321385",
            "telephone_number": "808-877-6611",
            "fax_number": "808-871-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUUKIA RUIDAS, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-31",
        "last_updated": "2015-08-27",
        "status": "A",
        "authorized_official_last_name": "RUIDAS",
        "authorized_official_first_name": "LUUKIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-877-6611",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "HI",
            "license": "13060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kahului, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; 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.