Active NPI
Ruby Deguzman Manalastas, M.D.
- Psychiatry Physician
- Tamuning, GU
National Provider Identifier
1760604185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- M001423
- Practice address
- Department of Mental Health
790 Gov. Camacho Road
Tamuning, GU 96911 - Phone
- (671) 647-5354
- NPI assigned
- May 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M001423 | GU | MD | Psychiatry Physician |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | M001423 | GU | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
Department of Mental Health
790 Gov. Camacho Road
Tamuning, GU 96911
Mailing address
908 G. Araneta Avenue
Quezon City, METRO MANILA 1100
PH
Phone (632) 416-2451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760604185",
"addresses": [
{
"country_code": "PH",
"country_name": "Philippines",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "908 G. ARANETA AVENUE",
"city": "QUEZON CITY",
"state": "METRO MANILA",
"postal_code": "1100",
"telephone_number": "632-416-2451",
"fax_number": "632-711-4429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DEPARTMENT OF MENTAL HEALTH",
"address_2": "790 GOV. CAMACHO ROAD",
"city": "TAMUNING",
"state": "GU",
"postal_code": "96911",
"telephone_number": "671-647-5354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANALASTAS",
"first_name": "RUBY",
"middle_name": "DEGUZMAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GU",
"license": "M001423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tamuning, GU
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.