Tumon Medical Office

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M001195 Issued in GU

Legal business name

TUMON MEDICAL OFFICE

Practice address

125 Carlos LN
Carlos Heights
Tamuning, GU 96913-4339

Phone

(671) 649-5052

NPI assigned

Dec 3, 2007

Last updated

Dec 3, 2007By 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. Patrick Santos, M.D.NPI 1609937762

Title

President

Phone

(671) 649-5052

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patrick C Santos, MD

  • Family Medicine Physician
  • Upper Tumon, GU
  • NPI 1609937762

  HI

  Medicare reassignment NPD Authorized official
• Ricardo Mark Terlaje, M.D.

  • Family Medicine Physician
  • Tamuning, GU
  • NPI 1154543874
  NPD (past)

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1992987952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 CARLOS LN",
            "address_2": "CARLOS HEIGHTS",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969134339",
            "telephone_number": "671-649-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 CARLOS LN",
            "address_2": "CARLOS HEIGHTS",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969134339",
            "telephone_number": "671-649-5052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUMON MEDICAL OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "671-649-5052",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GU",
            "license": "M001195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tri Enterprises Inc (Healthcare Specialties)
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• Trinity Healthcare, LLC.
• Dennis J Triolo, AUD
• Steven Andrew Tull, PA C
• Helene Duenas Tuncap, PA-C
• Michael Um, M.D.
• Leonora G Urbano, PMHNP
• Tom Serafica Veloria, D.M.D.
• Stephanie Velsmid, RN CNM

• Family Medicine Physician in Tamuning, GU
• Providers in Tamuning, GU by specialty
• Family Medicine Physician in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.