Individual provider Active NPI

Gabriel Banu De Guzman, M.D.

  • Internal Medicine Physician
  • Saipan, MP
National Provider Identifier
1699705277
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0356 Issued in MP
Practice address
Pacific Medical Center, Middle Road Buildong
Saipan, MP 96950-1908
Phone
(670) 233-8100
Fax
(670) 233-8102
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0356 MP Primary

Addresses

Primary practice location

Pacific Medical Center, Middle Road Buildong
Saipan, MP 96950-1908

Mailing address

PO Box 501908
Gualo Rai
Saipan, MP 96950-1908
Phone (670) 233-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0356MPMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366243200000",
    "number": "1699705277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 501908",
            "address_2": "GUALO RAI",
            "city": "SAIPAN",
            "state": "MP",
            "postal_code": "969501908",
            "telephone_number": "670-233-8100",
            "fax_number": "670-233-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PACIFIC MEDICAL CENTER, MIDDLE ROAD BUILDONG",
            "city": "SAIPAN",
            "state": "MP",
            "postal_code": "969501908",
            "telephone_number": "670-233-8100",
            "fax_number": "670-233-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE GUZMAN",
        "first_name": "GABRIEL",
        "middle_name": "BANU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2013-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MP",
            "license": "0356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saipan, MP

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; 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.