Cruzborroto, Raynier

Cruzborroto, Raynier is an sole proprietor health care provider with primary practice located at 6905 Harris Ave , Kailua HI 96734. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Cruzborroto, Raynier can be contacted via phone (808) 257-3365.

Contact Information

Primary practice address
6905 Harris Ave Kailua HI 96734
Phone: (808) 257-3365
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1386039915
LBN Legal business name Cruzborroto, Raynier
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2015
Last updated Jun 13th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386039915 NPPES
California Other $$$$$$$$$ SOCIAL SECURITY

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