Organization Active NPI

M3D Pro Pacific

  • Durable Medical Equipment & Medical Supplies
  • Tamuning, GU
National Provider Identifier
1043760168
Registry record updated Oct 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
332B00000X Issued in GU
Legal business name
M3D PRO PACIFIC
Practice address
1779 Army Dr Ste 205
Tamuning, GU 96913-1278
Phone
(671) 486-9200
NPI assigned
Oct 13, 2016
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Eduardo Abesamis Manuel Jr.
Title
General Manager
Phone
(671) 486-9200

National Provider Directory

National Provider Directory

Locations

1779 Army Dr
Ste 205
Tamuning, GU 96913
Phone (671) 486-9200

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 332B00000X GU Primary

Addresses

NPPES NPI Registry

Primary practice location

1779 Army Dr Ste 205
Tamuning, GU 96913-1278

Mailing address

1779 Army Drive Suite 205
Tamuning, GUAM 96913
UM

Other names 1

NPPES NPI Registry
  • Eduardo A. Manuel Jr. Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 13, 2016.

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1043760168",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "1779 ARMY DRIVE SUITE 205",
            "city": "TAMUNING",
            "state": "GUAM",
            "postal_code": "96913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1779 ARMY DR STE 205",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969131278",
            "telephone_number": "671-486-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M3D PRO PACIFIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-13",
        "last_updated": "2016-10-13",
        "status": "A",
        "authorized_official_last_name": "MANUEL",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "ABESAMIS",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "671-486-9200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GU",
            "license": "332B00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eduardo A. Manuel Jr.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 13, 2016; 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.