M3D Pro Pacific

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

332B00000X Issued in GU

Legal business name

M3D PRO PACIFIC

Doing business as

Eduardo A. Manuel Jr.

Practice address

1779 Army Dr Ste 205
Tamuning, GU 96913-1278

Phone

(671) 486-9200

NPI assigned

Oct 13, 2016

Last updated

Oct 13, 2016By 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

Mr. Eduardo Abesamis Manuel Jr.

Title

General Manager

Phone

(671) 486-9200

Specialties & licenses 1

Addresses

Other names 1

• Eduardo A. Manuel Jr. Doing business as

Locations

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

{
    "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"
        }
    ]
}

• LMR LLC (X-Ray Pro)
• Jitka Lom, M.D.
• Ivan Stephen Lowenthal, M.D.
• Pingyuan Lu
• Cheryll Ann Estacio Lueke, P.T.
• Jean M. Macalinao
• Barbara C Mafnas, RN, MSN, IBCLC
• Marilyn Zamora Magbitang
• Edgar M. Magcalas, M.D.
• Rachel Ivy Grace Magistre-Legend, PA-C

• Durable Medical Equipment & Medical Supplies in Tamuning, GU
• Providers in Tamuning, GU by specialty
• Durable Medical Equipment & Medical Supplies in Guam

• 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.