Organization Active NPI

Marianas Medical Services

  • Non-emergency Medical Transport (VAN)
  • Barrigada, GU
National Provider Identifier
1376248476
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MARIANAS MEDICAL SERVICES
Practice address
331 San Antonio St
Barrigada, GU 96913-1361
Phone
(671) 929-6998
NPI assigned
Mar 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Authorized official

Name
Gianna Marie Taijeron Santos
Title
Staff
Phone
(671) 929-6998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

331 San Antonio St
Barrigada, GU 96913-1361

Mailing address

331 San Antonio St
Barrigada, GU 96913-1361
Phone (671) 929-6998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GU

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231201002651 GU Part B Supplier - Ambulance Service Supplier 2668820580 Practice locations: Barrigada, GU

National Provider Directory

National Provider Directory

Locations

133 Route 3
Dededo, GU 96929
Phone (671) 645-5500

NPI Registry JSON

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1376248476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 SAN ANTONIO ST",
            "city": "BARRIGADA",
            "state": "GU",
            "postal_code": "969131361",
            "telephone_number": "671-929-6998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 SAN ANTONIO ST",
            "city": "BARRIGADA",
            "state": "GU",
            "postal_code": "969131361",
            "telephone_number": "671-929-6998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIANAS MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-31",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "GIANNA MARIE",
        "authorized_official_middle_name": "TAIJERON",
        "authorized_official_title_or_position": "STAFF",
        "authorized_official_telephone_number": "671-929-6998"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barrigada, GU

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.