Active NPI
Maria Cecilia Sioco Mendiola, C-SA
- Surgical Technologist
- Tamuning, GU
National Provider Identifier
1902149503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Technologist
- Practice address
- 280 Pale San Vitores Road
Tamuning, GU 96913 - Phone
- (671) 647-4542
- Fax
- (671) 647-4558
- NPI assigned
- Apr 2, 2013
- Sex
- Female
- Sole proprietor
- No
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
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Technologist | 246ZS0410X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
280 Pale San Vitores Road
Tamuning, GU 96913
Mailing address
280 Pale San Vitores Road
Tamuning, GU 96913
Phone (671) 647-4542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 23, 2013.
{
"created_epoch": "1364860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366675200000",
"number": "1902149503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 PALE SAN VITORES ROAD",
"city": "TAMUNING",
"state": "GU",
"postal_code": "96913",
"telephone_number": "671-647-4542",
"fax_number": "671-647-4558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 PALE SAN VITORES ROAD",
"city": "TAMUNING",
"state": "GU",
"postal_code": "96913",
"telephone_number": "671-647-4542",
"fax_number": "671-647-4558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDIOLA",
"first_name": "MARIA CECILIA",
"middle_name": "SIOCO",
"name_prefix": "Mrs.",
"credential": "C-SA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-02",
"last_updated": "2013-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": null,
"license": null,
"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 Apr 23, 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.