Active NPI
Marianas Medical Services
- Non-emergency Medical Transport (VAN)
- Barrigada, GU
National Provider Identifier
1376248476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231201002651 | GU | Part B Supplier - Ambulance Service Supplier | 2668820580 | Practice locations: Barrigada, GU |
National Provider Directory
National Provider DirectoryLocations
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.