Ernest Gredonia Aquino

Primary specialty

Health EducatorTaxonomy code 174H00000X

Practice address

219 S Marine Corps Dr Ste 200
Tamuning, GU 96913-3927

Phone

(671) 646-6956

Fax

(671) 647-3541

NPI assigned

Sep 18, 2023

Last updated

Sep 18, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1306624648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6578",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969316578",
            "telephone_number": "671-727-5713",
            "fax_number": "671-647-3541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 S MARINE CORPS DR STE 200",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133927",
            "telephone_number": "671-646-6956",
            "fax_number": "671-647-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AQUINO",
        "first_name": "ERNEST",
        "middle_name": "GREDONIA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "GU",
            "license": null,
            "primary": true
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "GU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samir Shankar Ambrale, MD
• American Dialysis Center, Inc.
• American Multi-Specialty Group, Inc.
• Christina Joy Anciano, CNM
• Teresa Lynn Anderson, RN/CNM
• Megan Julyne Dejesa Aquino, PT
• Ruben Pasion Arafiles, MD
• Luis Golez Arguelles, M.D.
• Lynnette Arriola, MSW, LCSW, LPC
• Ashley Artero

• Health Educator in Tamuning, GU
• Providers in Tamuning, GU by specialty
• Health Educator in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.