NPI 1922435320

Marianas Medical Providers, LLC

Organisation Health Maintenance Organization Agana Heights, GU

Practice location

Address: 182 Chalan Macajna, Agana Heights, GU 96910-6113
Phone: (671) 689-2128
Fax: (671) 633-4452
Mailing address: P.O. Box 3431, Hagatna, GU 96932-8901

Authorised official

Name: Pauline Sa Lizama
Title: Administrator
Phone: (671) 689-2128

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

Other Health Maintenance Organization providers in Guam →

Registry record

NPI: 1922435320
Entity type: Organization
NPI issued: 30 Sep 2013
Record last updated: 30 Sep 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.