Haganta Clinic, PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

HAGANTA CLINIC, PC

Practice address

277 W Chalan Santo Papa
Hagatna, GU 96910-5115

Phone

(671) 479-6363

Fax

(671) 479-4329

NPI assigned

Dec 7, 2017

Last updated

Dec 7, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Olivia T Cruz, MD

Title

Owner

Phone

(671) 479-6363

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512604800000",
    "number": "1013422435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 W CHALAN SANTO PAPA",
            "city": "HAGATNA",
            "state": "GU",
            "postal_code": "969105115",
            "telephone_number": "671-479-6363",
            "fax_number": "671-479-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 W CHALAN SANTO PAPA",
            "city": "HAGATNA",
            "state": "GU",
            "postal_code": "969105115",
            "telephone_number": "671-479-6363",
            "fax_number": "671-479-4329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAGANTA CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-07",
        "last_updated": "2017-12-07",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "671-479-6363",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guam Fire Department - Government of Guam
• Guam Urgent Care
• Rosemarie Guilliot, IMFT
• Haddock Health, PC
• Carla Torres Haddock, FNP-C
• Ideal Vision Center LLC
• Jeffrey David Ives
• Jeffrey C. Johnson, D.D.S.
• Ku in Kang
• Backhabwha Kim, DDS

• Clinic/Center in Hagatna, GU
• Providers in Hagatna, GU by specialty
• Clinic/Center in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; 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.