Organization Active NPI

Sagua Managu

  • Birthing Clinic/Center
  • Tamuning, GU
National Provider Identifier
1013110410
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Birthing Clinic/CenterTaxonomy code 261QB0400X
Legal business name
SAGUA MANAGU
Practice address
472 Chalan San Antonio
Pe Mar Place
Tamuning, GU 96913-3605
Phone
(671) 647-1830
Fax
(671) 647-1919
NPI assigned
Jun 6, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Antolina S Leon Guerrero
Title
General Manager
Phone
(671) 647-1414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Birthing Clinic/Center 261QB0400X NU Primary

Addresses

Primary practice location

472 Chalan San Antonio
Pe Mar Place
Tamuning, GU 96913-3605

Mailing address

472 Chalan San Antonio
Pe Mar Place
Tamuning, GU 96913-3605
Phone (671) 647-1830

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013110410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "472 CHALAN SAN ANTONIO",
            "address_2": "PE MAR PLACE",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133605",
            "telephone_number": "671-647-1830",
            "fax_number": "671-647-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "472 CHALAN SAN ANTONIO",
            "address_2": "PE MAR PLACE",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133605",
            "telephone_number": "671-647-1830",
            "fax_number": "671-647-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGUA MANAGU",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEON GUERRERO",
        "authorized_official_first_name": "ANTOLINA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "671-647-1414"
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamuning, GU

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.