Provider Demographics
NPI:1871740969
Name:ALVAREZ, ELENITA (MD)
Entity type:Individual
Prefix:
First Name:ELENITA
Middle Name:
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 NORTH KUAKINI STREET
Mailing Address - Street 2:SUITE #510
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-2361
Mailing Address - Country:US
Mailing Address - Phone:808-521-9847
Mailing Address - Fax:808-521-7236
Practice Address - Street 1:321 NORTH KUAKINI STREET
Practice Address - Street 2:SUITE #510
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-2361
Practice Address - Country:US
Practice Address - Phone:808-521-9847
Practice Address - Fax:808-521-7236
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-20
Last Update Date:2009-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD3322207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology