KYLE LUIS MUNOZ VALDES (NPI# 1093358939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093358939 |
| Entity Type | Individual |
| Full Name | KYLE LUIS MUNOZ VALDES |
| Credential | IDMT |
| Practice Address |
135 Aupaka St Honolulu HI 96818-5422 |
| Practice Telephone | 8083548970 |
| Mailing Telephone | 8083548970 |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2019-10-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1003X |
Military Health Care Provider Specialization: Independent Duty Medical Technicians |
Other Service Providers |
| Street Address |
135 AUPAKA ST |
| City | HONOLULU |
| State | HI |
| Zip Code | 96818-5422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356992457 | Emma Jo Ann Marquez | Military Health Care Provider | 755 Scott Circle Drive, Honolulu, HI 96818 | 2019-09-20 |
| 1497227979 | Melanie Fujii | Behavior Technician | 4510 Salt Lake Boulevard, Suite D-8, Honolulu, HI 96818 | 2018-12-21 |
| 1174016687 | Kerestin Elizabeth Walker | Counselor | 615 Piikoi St, Suite 203, Honolulu, HI 96818 | 2018-06-08 |
| 1598272411 | Juli K Kaaihue | Behavior Technician | 4510 Salt Lake Blvd., D-8, Honolulu, HI 96818 | 2017-12-30 |
| 1861904864 | Joanna Wolford | Licensed Practical Nurse | 1514 Makalapa Drive, Apo, AA 96818 | 2017-10-30 |
| 1093232662 | Lorri Kim Gomes | Social Worker | 1147 Ala Napunani St., #206, Honolulu, HI 96818 | 2017-08-24 |
| 1871960278 | Cassandra Fisher | Speech-Language Pathologist | 202a Beard Ave, Honolulu, HI 96818 | 2015-09-01 |
| 1689073959 | Eanah Whaley | Psychologist | 750 Signer Blvd Bldg 554, Honolulu, HI 96818 | 2014-08-22 |
| 1346599214 | Hawaii Mobility | Durable Medical Equipment & Medical Supplies | 4355 Lawehana #8, Honolulu, HI 96818 | 2012-09-06 |
| 1326303181 | Evelyn Ogami-glary | Massage Therapist | 1780 Bougainvillea Lp, Physical Fitness Center Aliamanu Military Reservation, Honolulu, HI 96818 | 2012-07-09 |
| Find all providers in zip 96818 | ||||
| Taxonomy Code | 1710I1003X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Medical Technicians |
| An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians. |
| Notes: Source: Air Force Surgeon General Office [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356992457 | Emma Jo Ann Marquez | Military Health Care Provider | 755 Scott Circle Drive, Honolulu, HI 96818 | 2019-09-20 |
| 1982838793 | Ryan Michael Bauermeister | Military Health Care Provider | 1200 Queen Emma St, 1905, Honolulu, HI 96813-6300 | 2009-05-07 |
| 1477692143 | Kenneth A. Davis | Military Health Care Provider | 400 Sand Island Pkwy, Cgc Kukui (wlb-203), Honolulu, HI 96819-4326 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730318791 | Mark P Picchione | Military Health Care Provider | 310 Worchester Ave, Bldg 45, Hickam Afb, HI 96853-5530 | 2009-07-10 |
| 1922232230 | Angela Marie Alveo-forbes | Military Health Care Provider | 375 Mamiya St, Bldg 2140, Hickam Ab, HI 96853 | 2009-05-14 |
| 1912141557 | Bobby L. Woods | Military Health Care Provider | 310 Worchester Ave Bldg 45, Jpac Medical Section, Hickam Afb, HI 96853-5530 | 2009-04-27 |
| 1124262746 | John Craig Bright | Military Health Care Provider | 15mdos/sgomf 755 Scott Circle, Hickam Afb, HI 96853-3672 | 2009-04-27 |
| 1114489309 | Adele J Dailey-thomas | Military Health Care Provider | 755 Scott Cir Ste 559, Jbphh, HI 96853-5399 | 2019-04-05 |
| 1477013217 | Nathan Robert Becker | Military Health Care Provider | 755 Scott Cir, Jbphh, HI 96853-5399 | 2019-03-20 |
| 1558723858 | Rossmery Aragon-leonard | Military Health Care Provider | 755 Scott Cir, Jbphh, HI 96853-5399 | 2016-03-25 |
| 1639300312 | Cameron Modisette | Military Health Care Provider | 755 Scott Cir, Hickam Afb, HI 96853-5399 | 2009-07-29 |
| 1154556280 | Rodney Valdecanas Acasio | Military Health Care Provider | 310 Worchester Ave Bldg 45, Hickam Afb, HI 96853-5530 | 2009-05-19 |
| 1740423151 | Douglas Brook | Military Health Care Provider | 755 Scott Cir, Jbphh, HI 96853-5399 | 2009-04-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.