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DR. REYDOMINIQUE LUCERO GUMBOC MD NPI 1710990403


NPI Information

NPI: 1710990403
Provider Name: DR. REYDOMINIQUE LUCERO GUMBOC, MD
Classification: Surgery - 2086S0105X
Entity Type: Individual

Specialization: Surgery of the Hand

Organization: KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

PECOS Registration: Yes

Address:
1 JARRETT WHITE RD
TRIPLER AMC, DEPT OF ORTHOPAEDIC SURGERY
HONOLULU, HI
ZIP 96589
Phone: (808) 433-3557
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DR. Reydominique Lucero Gumboc, MD is a surgery of the hand surgery in Honolulu, HI with 19 years of experience. The provider is a surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist. DR. Reydominique Lucero Gumboc, MD NPI is 1710990403. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduation Year:2005

The provider's business location address is:

1 JARRETT WHITE RD
TRIPLER AMC, DEPT OF ORTHOPAEDIC SURGERY
HONOLULU, HI
ZIP 96589
Phone: (808) 433-3557

The NPI 1710990403 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/14/2006 and was last updated on 2/4/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207X00000XOrthopaedic SurgeryMDR4859HAWAIINo
2207XS0106XOrthopaedic SurgeryHand SurgeryDR.0061450COLORADONo
32086S0105XSurgerySurgery of the HandMD190882OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.