Spectrum Consulting Group

Organization Active NPI Clinic/Center · Tamuning, GU

NPI 1043021546 · NPPES record last updated Sep 16, 2025

Key facts

NPI
1043021546
Entity type
Organization (NPI type 2)
Primary specialty
Clinic/Center 261Q00000X
Legal business name
SPECTRUM CONSULTING GROUP
Practice address
280 Pale San Vitores Rd
Tamuning, GU 96913-3615
Phone
(671) 689-4219
NPI assigned
Jan 15, 2025
Organization subpart
No

Authorized official

Name
Dr. Vincent Duenas, DO
Title
Ceo
Phone
(671) 689-4219

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
65D2321037Spectrum Consulting Group LLC
280 Pale San Vitored Road Unit 104, Tamuning, GU 96913
Certificate of waiverMar 27, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in GU

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20251001003758 GU Part B Supplier - Clinic/Group Practice 7911403621 Receives reassigned benefits from 1 practitioner
Practice locations: Tamuning, GU

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FJAJDD

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Yes

Addresses

Primary practice location

280 Pale San Vitores Rd
Tamuning, GU 96913-3615

Mailing address

214 Lakeview Dr
Yona, GU 96915-6658
Phone (671) 689-4219

Other names

  • Spectrum Preventive Health Doing business as

Other providers in Tamuning, GU

All providers in Tamuning, GU · Clinic/Center in Guam

Sources for this page

Verify at the official NPI Registry.