| Tumon Medical Office | |
|
125 Carlos Ln Carlos Heights Tamuning GU 96913-4339 | |
| (671) 649-5052 | |
| Not Available |
| Full Name | Tumon Medical Office |
|---|---|
| Speciality | Family Medicine |
| Location | 125 Carlos Ln, Tamuning, Guam |
| Authorized Official Name and Position | Patrick Santos (PRESIDENT) |
| Authorized Official Contact | 6716495052 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tumon Medical Office 125 Carlos Ln Carlos Heights Tamuning GU 96913-4339 Ph: (671) 649-5052 | Tumon Medical Office 125 Carlos Ln Carlos Heights Tamuning GU 96913-4339 Ph: (671) 649-5052 |
| NPI Number | 1992987952 |
|---|---|
| Provider Enumeration Date | 12/03/2007 |
| Last Update Date | 12/03/2007 |
| Medicare PECOS PAC ID | 4688563349 |
|---|---|
| Medicare Enrollment ID | O20040311001259 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992987952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M001195 (Guam) | Primary |
| Provider Name | Patrick C Santos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609937762 PECOS PAC ID: 3274422936 Enrollment ID: I20040426000315 |
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