Active NPI
Benilda C. Luz-Llena, M.D. Inc.
- Pediatrics Physician
- Waipahu, HI
National Provider Identifier
1922278969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD10185
- Legal business name
- BENILDA C. LUZ-LLENA, M.D. INC.
- Practice address
- 94-307 Farrington Hwy
Ste. B3
Waipahu, HI 96797-2565 - Phone
- (808) 677-5022
- Fax
- (808) 677-8702
- NPI assigned
- Mar 5, 2008
- Last updated
- Mar 5, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Benilda Castillo Luz, M.D.
- Title
- President
- Phone
- (808) 677-5022
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
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 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20192 | Medicaid | HI | |
| 0000213926 | Other | HI | HMSA |
National Provider Directory
National Provider DirectoryLocations
94-307 Farrington Hwy
Ste B3
Waipahu, HI 96797
Phone (808) 671-1634
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatrics Physician
- Waipahu, HI
- NPI 1699884304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204675200000",
"number": "1922278969",
"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": {
"organization_name": "BENILDA C. LUZ-LLENA, M.D. INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-05",
"last_updated": "2008-03-05",
"status": "A",
"authorized_official_last_name": "LUZ",
"authorized_official_first_name": "BENILDA",
"authorized_official_middle_name": "CASTILLO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "808-677-5022",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "HI",
"license": "MD10185",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "20192",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "0000213926",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
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 Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.