89 Ho'okele St., Suite 103, Kahului, HI, 96732 - Fax: (808) 871-8867

Healthcare providers

James E. Muto, M.D., F.A.C.C.


Dr. Muto was Board Certified in Internal Medicine in 1993, Cardiovascular Diseases in 1990, and is a Fellow of the American College of Cardiology.  He graduated from the University of California, San Francisco School of Medicine and performed his Internal Medicine residency and Cardiology fellowship at the University of California Davis, the Veterans' Administration Center and the Texas Tech University Health Science Center in 1993.  In addition, he has completed specialized programs in balloon angioplasty to the heart and extremities, permanent pacemaker placement, and nuclear sound scanning.

Now, Dr. Muto mainly specializes in out-patient preventative and clinical Cardiology and has been practicing in Maui since 1996.  He refers his patients for hospitalization and interventional procedures to Maui Memorial Medical Center, Queen's Medical Center, Straub Hospital, Stanford Medical Center, Cedar-Sinai Medical Center, Cleveland Clinic, Mayo Clinic Medical Center Rochester, and Mayo Clinic Arizona.  He's known for spending a great deal of time with his patients and managing complex problems.

Natalie Colome Mansanas, P.A.-C


Natalie Colome is a Physician Assistant from Miami, Florida and is certified with the National Commission on Certification of Physician Assistants.  She attended Florida International University and completed her certification at Miami Dade College, also training at the University of Miami, Miller School of Medicine.  After completing her certification, she worked for a Clinical Cardiologist in Miami until one of her lifelong goals was realized and flew over 5000 miles to Maui and joined our practice in 2012.

Natalie's passion for medicine and health is exemplary.  She spends quality time with her patients and has been fully dedicated to their well-being.  She specializes in Cardiology and has a broad understanding in various medical disciplines.  Her favorite topics include nutrition, risk factor modification, and exercise for physical health.  She likes  spending her days off playing with her family at the beach.


Richard W. Terry, M.D., F.A.C.C.


Dr. Terry is Board Certified in Internal Medicine and Cardiovascular Disease, is a Fellow of the American College of Cardiology and the American Heart Association.  He was an undergraduate at University of California, Berkeley and went to medical school at the University of California, San Francisco.  He completed his Internal Medicine training at the University of Washington and did his Cardiology fellowship at the University of California, San Diego.  For  over 37 years, Dr. Terry had been an Interventional Cardiologist with Cardiovascular Consultants, a 23 person Cardiology group in the San Francisco Bay Area.