Marianas Medical Providers, LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

MARIANAS MEDICAL PROVIDERS, LLC

Doing business as

Mmp

Practice address

182 Chalan Macajna
Agana Heights, GU 96910-6113

Phone

(671) 689-2128

Fax

(671) 633-4452

NPI assigned

Sep 30, 2013

Last updated

Sep 30, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Pauline Sa Lizama

Title

Administrator

Phone

(671) 689-2128

Specialties & licenses 1

Addresses

Other names 1

• Mmp Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380499200000",
    "number": "1922435320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 3431",
            "city": "HAGATNA",
            "state": "GU",
            "postal_code": "969328901",
            "telephone_number": "671-689-2128",
            "fax_number": "671-633-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 CHALAN MACAJNA",
            "city": "AGANA HEIGHTS",
            "state": "GU",
            "postal_code": "969106113",
            "telephone_number": "671-689-2128",
            "fax_number": "671-633-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIANAS MEDICAL PROVIDERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-30",
        "last_updated": "2013-09-30",
        "status": "A",
        "authorized_official_last_name": "LIZAMA",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_middle_name": "SA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "671-689-2128",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "GU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mmp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nikima Tangerine Loureiro
• Michelle My Lu, DO
• Rosita Aguilo Mahony, LCSW, BCD
• Maricon Manalac
• Valerie Jean Cruz Mansapit
• Ashley Ann Martin, DDS
• Conor Flynn McCarthy, MD
• Charles Wynter McCready III, IDC
• Thomas Patrick McDonald, MD
• Myra M McGowan, PT, DPT

• Health Maintenance Organization in Agana Heights, GU
• Providers in Agana Heights, GU by specialty
• Health Maintenance Organization in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.

Verify at the official NPI Registry.