Active NPI
M3D Pro Pacific
- Durable Medical Equipment & Medical Supplies
- Tamuning, GU
National Provider Identifier
1043760168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 332B00000X
- 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 DirectoryLocations
1779 Army Dr
Ste 205
Tamuning, GU 96913
Phone (671) 486-9200
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 332B00000X | GU | Primary |
Addresses
NPPES NPI RegistryPrimary 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.
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.