Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TED R FONTANILLA, MT
Active Sole ProprietorMR. TED R FONTANILLA, MT is a Specialist healthcare provider located in KANEOHE, Hawaii. NPI 1902131428 is currently active in the NPPES registry. Verify at CMS.
Specialist · KANEOHE, HI
Registration Details
- NPI Number
- 1902131428
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 16, 2009 (16.684000687256 yrs)
- Last Updated
- Mar 17, 2018
- License
-
11453 (HI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
47-403 AHUIMANU RDKANEOHE, HI, 967444850Browse HI providers · Browse ZIP 96744
- Phone
- 8082399947
- Fax
- 8082392213
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in KANEOHE, HI
| Name | Credential | NPI |
|---|---|---|
| DR. ALAN MINORU TANIGUCHI | M.D. | 1770603748 |
| MRS. ROCHELLE H FEATHERAN | LMT | 1336367994 |
| MRS. MISTY L. I. MIYASHIRO | LMT | 1407075625 |
| MRS. ASHLYN L CRAWFORD | LMT | 1629286968 |
| DR. KEVIN C CHEN | M.D. | 1326221193 |
| DR. HENRY L YIM | MD | 1669630612 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.