Active NPI
Sagua Managu
- Birthing Clinic/Center
- Tamuning, GU
National Provider Identifier
1013110410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Birthing Clinic/Center
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.