Individual provider Active NPI

Ruby Deguzman Manalastas, M.D.

  • Psychiatry Physician
  • Tamuning, GU
National Provider Identifier
1760604185
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
M001423 Issued in GU
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

LicenseStateTypeSpecialty
M001423GUMDPsychiatry Physician

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X M001423 GU Primary

Addresses

NPPES NPI Registry

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

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.

Verify at the official NPI Registry.