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
-
Vincent Duenas, D.O.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 65D2321037 | Spectrum Consulting Group LLC | Certificate of waiver | Mar 27, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GU
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251001003758 | GU | Part B Supplier - Clinic/Group Practice | 7911403621 |
Receives reassigned benefits from 1 practitioner Practice locations: Tamuning, GU |
National Provider Directory
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FJAJDD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Other providers in Tamuning, GU
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.