| Guam Sleep Center, Llc | |
|
535 N. Marine Corps Drive Unit 1a Tamuning GU 96913 | |
| (671) 647-6669 | |
| (671) 647-6277 |
| Full Name | Guam Sleep Center, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 535 N. Marine Corps Drive, Tamuning, Guam |
| Authorized Official Name and Position | Divina Mesa (OPERATIONS MANAGER) |
| Authorized Official Contact | 6716476669 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Guam Sleep Center, Llc 535 N Marine Corps Dr Ste 1a Tamuning GU 96913-4112 Ph: (671) 647-6669 | Guam Sleep Center, Llc 535 N. Marine Corps Drive Unit 1a Tamuning GU 96913 Ph: (671) 647-6669 |
| NPI Number | 1699957274 |
|---|---|
| Provider Enumeration Date | 12/05/2007 |
| Last Update Date | 07/28/2020 |
| Medicare PECOS PAC ID | 9335215938 |
|---|---|
| Medicare Enrollment ID | O20131227001132 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699957274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QS1200X | Clinic/center - Sleep Disorder Diagnostic | 13-200701593-001 (Guam) | Primary |
| Provider Name | Gabriele M Barthlen |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1477659514 PECOS PAC ID: 8426132689 Enrollment ID: I20080226000761 |
| Provider Name | Mary Elizabeth C Hernandez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174658124 PECOS PAC ID: 3779660295 Enrollment ID: I20200501001587 |
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