MR. MANUEL CONTRERAS JR. (NPI# 1285698969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285698969 |
| Entity Type | Individual |
| Full Name | MR. MANUEL CONTRERAS JR. |
| Credential | IDC |
| Practice Address |
Uss Russell Ddg59 Pearl Harbor HI 96782 |
| Mailing Address |
185 Austin Ct Pearl City HI 96782-3406 |
| Practice Telephone | 8084714794 |
| Mailing Telephone | 8087825484 |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043517543 | Manuel Christopher Contreras | Counselor | 11856 Balboa Blvd # 173, Granada Hills, CA 91344-2753 | 2011-02-17 |
| 1962699686 | Manuel M Contreras | Dentist | 1701 W March Ln Ste B, Stockton, CA 95207-6416 | 2007-09-26 |
| 1710055595 | Manuel N Contreras | Family Medicine | 9238 1/2 Valley Blvd, Rosemead, CA 91770-1922 | 2006-12-01 |
| 1356940506 | Manuel Contreras | Orthotist | 3031 New Bern Ave Ste 102, Raleigh, NC 27610-2989 | 2020-10-20 |
| Street Address |
USS RUSSELL DDG59 |
| City | PEARL HARBOR |
| State | HI |
| Zip Code | 96782 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801445663 | Benjamin Jacob Gomez | Clinic/Center | 2001 Victor Wharf, Pearl City, HI 96782 | 2019-09-05 |
| 1457824252 | Mary Jane P Harris | Nurse Practitioner | 98-1238 Kaahumanu St # 403, Pearl City, HI 96782 | 2019-01-04 |
| 1285141283 | Al's Vinyl Repair Inc. | Hearing Aid Equipment | 98-450 Kamehameha Hwy, #4, Pearl City, HI 96782 | 2017-12-29 |
| 1730601527 | North Shore Prosthetics and Orthotics Inc. | Prosthetic/Orthotic Supplier | 719 Kamehameha Hwy Ste B100, Pearl City, HI 96782 | 2017-07-12 |
| 1396158556 | Tian W He | Dentist | 850 Kamehameha Hwy #215, Pearl City, HI 96782 | 2014-06-05 |
| 1518307321 | Queens Medical Center | General Acute Care Hospital | 1348 Hoohui Street, Pearl City, HI 96782 | 2013-06-26 |
| 1437451903 | Ashley Cerzo Rivera | Nurse Practitioner | 1790 Paailuna Way, Pearl City, HI 96782 | 2010-12-03 |
| 1972684934 | Zaada Hailley | Marriage & Family Therapist | 1151 Waimano Home Rd, Pearl City, HI 96782 | 2006-10-18 |
| 1699876979 | Myron E Kawakami | Dentist | 98-1238 Ka'ahumanu St, #305, Pearl City, HI 96782 | 2006-09-26 |
| 1144328170 | Qsi Inc | Pharmacy | 98 1264 Kaahumanu St, Pearl City, HI 96782 | 2006-09-21 |
| Find all providers in zip 96782 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003325366 | Justin Hesse | Military Health Care Provider | Building 17 Bishop Point, Pearl Harbor, HI 96860 | 2017-09-29 |
| 1104290519 | Carlton Jacob Maughan | Military Health Care Provider | Bldg 17 Bishops Point, Pearl Harbor, HI 96860 | 2015-11-23 |
| 1922349968 | Jose Israel Lopez | Military Health Care Provider | Mdsu-1 Bishop Point, Building 17, Pearl Harbor, HI 96860 | 2013-03-14 |
| 1184914061 | William A Talbott | Military Health Care Provider | 850 Ticonderoga St, Pearl Harbor, HI 96860 | 2011-04-13 |
| 1750691291 | Ronald Bruce Rutherford | Military Health Care Provider | 850 Ticonderoga St Ste 110, Pearl Harbor, HI 96860-4460 | 2010-10-18 |
| 1194043992 | Keith Allen Laubinger | Military Health Care Provider | 1210 Battleship Dr, Unit # 132, Pearl Harbor, HI 96860-4301 | 2010-05-04 |
| 1275860603 | Michael J. Rodriguez | Military Health Care Provider | 822 Clark St., Nssc Medical Suite 400, Pearl Harbor, HI 96860 | 2009-11-05 |
| 1437356912 | Corey Lee Mccloud | Military Health Care Provider | Navy Health Clinic Hawaii, Makalapa Family Pratice Clinic, Pearl Harbor, HI 96706 | 2007-06-28 |
| 1831124007 | Michael Brian Sexton | Military Health Care Provider | Fpo Ap 96662-2418, Uss Columbus Ssn 762, Pearl Harbor, HI 96860 | 2006-07-12 |
| 1205043726 | Michael James Haughey | Military Health Care Provider | 822 Clark St, Suite 400, Pearl Harbor, HI 96860-4652 | 2007-05-16 |
| Find all providers in PEARL HARBOR | ||||
| City | PEARL HARBOR |
| Zip Code | 96782 |
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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.