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
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | M001423 | GU | Primary |
Addresses
Primary 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
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 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"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
- Janice Malilay, DDS
- Jehn Reiko Quililan Mallari
- Jonne Allen D Mallari
- Unknown Mallikarjunappa, MD
- Caressa Elisabeth Maluwelmeng, PA-C
- Ma Cristina Quemada Manaloto, MD
- Eyal Margalit, MD, PHD
- Maria Melinda B Sangalang (Island Foot Specialists)
- Marianas Footcare Clinic (Teresa D Borja, DPM)
- Marianas Physicians Group, LLC
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.