Isla Pediatrics, PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

M989 Issued in GU

Legal business name

ISLA PEDIATRICS, PC

Practice address

132 E Espirito St
Tamuning, GU 96913-3834

Phone

(671) 647-4466

NPI assigned

Jan 19, 2015

Last updated

Jan 19, 2015By 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

Dr. John Marco Haniu Garrido, M.D.

Title

President / Physician

Phone

(671) 647-4466

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1421625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421625600000",
    "number": "1942699640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 E ESPIRITO ST",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133834",
            "telephone_number": "671-647-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 E ESPIRITO ST",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133834",
            "telephone_number": "671-647-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLA PEDIATRICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-19",
        "last_updated": "2015-01-19",
        "status": "A",
        "authorized_official_last_name": "GARRIDO",
        "authorized_official_first_name": "JOHN MARCO",
        "authorized_official_middle_name": "HANIU",
        "authorized_official_title_or_position": "PRESIDENT / PHYSICIAN",
        "authorized_official_telephone_number": "671-647-4466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GU",
            "license": "M989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yoichi Inaba, M.D.
• Shimi Velasquez Inciong, RD, LD, CDM, CFPP
• Intercapital Inc. (Omnihealth Home Health)
• Lucy Marie Cruz Iona, FNP
• Isla Home Infusion Inc.
• Island Cancer Center Corporation
• Island Eye Center (Island Eye Institute)
• Island Medical Specialists PC
• Ariel Arceo Ismael, MD
• Wilaiwan Iyakraisorn

• Primary Care Clinic/Center in Tamuning, GU
• Providers in Tamuning, GU by specialty
• Primary Care Clinic/Center in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2015; 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.