Organization Active NPI

Guam Regional Medical City

  • Rehabilitation Hospital Unit
  • Dededo, GU
National Provider Identifier
1558727263
Registry record updated Jan 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
PT124 Issued in GU
Legal business name
GUAM REGIONAL MEDICAL CITY
Practice address
GRMC 133, Route 3
Dededo, GU 96912
Phone
(671) 645-5500
NPI assigned
Jan 11, 2016
Last updated
Jan 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2016

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

Authorized official

Name
Marc Rosell Pagaduan
Title
Physical Therapist
Phone
(671) 487-3290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X PT124 GU Primary

Addresses

Primary practice location

GRMC 133, Route 3
Dededo, GU 96912

Mailing address

PO Box 5078
Hagatna, GU 96932-8658

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452470400000",
    "number": "1558727263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5078",
            "city": "HAGATNA",
            "state": "GU",
            "postal_code": "969328658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GRMC 133, ROUTE 3",
            "city": "DEDEDO",
            "state": "GU",
            "postal_code": "96912",
            "telephone_number": "671-645-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUAM REGIONAL MEDICAL CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-11",
        "last_updated": "2016-01-11",
        "status": "A",
        "authorized_official_last_name": "PAGADUAN",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "ROSELL",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "671-487-3290"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "GU",
            "license": "PT124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dededo, GU

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.