Mariano Prime LLC
Organization Active NPI Durable Medical Equipment & Medical Supplies · Tamuning, GU
NPI 1780959676 · NPPES record last updated Mar 12, 2012
Key facts
- NPI
- 1780959676
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- MARIANO PRIME LLC
- Practice address
- 255 Farenholt Ave
Tamuning, GU 96913-3209 - Phone
- (671) 649-5833
- Fax
- (671) 649-5830
- NPI assigned
- Mar 12, 2012
- Organization subpart
- Yes
- Parent organization (as reported)
- MARIANO PRIME LLC
Authorized official
- Name
- Mr. Mark Surla Mariano
- Title
- General Manager
- Phone
- (671) 649-5833
Corporate family (same tax ID) 5
National Provider Directory
- Tax ID family
- Mariano Prime Limited Liability
- Part of
- Mariano Prime Limited Liability
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
255 Farenholt Ave
Tamuning, GU 96913-3209
Mailing address
255 Farenholt Ave
Tamuning, GU 96913-3209
Phone (671) 649-5833
Other names
- MD Wholesale
Other providers in Tamuning, GU
- Marianas Footcare Clinic
- Marianas Physicians Group, LLC
- Mariano Prime Limited Liability
- Mariano Prime LLC
- Mariano Prime LLC
- Arthur Surla Mariano
- Jeremy D. Mariano
- Ligaya Mariano
- Ma. Hasmine Joy Zapanta Mariano
- Jaime Martin
All providers in Tamuning, GU · Durable Medical Equipment & Medical Supplies in Guam
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.