Provider Demographics
NPI:1326035460
Name:MARIANO, MARIA CHELA ARANA (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA CHELA
Middle Name:ARANA
Last Name:MARIANO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARIA CHELA
Other - Middle Name:CRUZ
Other - Last Name:ARANA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:255 FARENHOLT AVE
Mailing Address - Street 2:
Mailing Address - City:TAMUNING
Mailing Address - State:GU
Mailing Address - Zip Code:96913-3209
Mailing Address - Country:US
Mailing Address - Phone:671-637-8112
Mailing Address - Fax:671-637-8113
Practice Address - Street 1:330 W MARINE CORPS DR
Practice Address - Street 2:
Practice Address - City:DEDEDO
Practice Address - State:GU
Practice Address - Zip Code:96929-5924
Practice Address - Country:US
Practice Address - Phone:671-637-8112
Practice Address - Fax:671-637-8113
Is Sole Proprietor?:No
Enumeration Date:2005-10-04
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI47554-020207Q00000X
GUM-1590207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GU693Medicaid
WII30919Medicare UPIN
WI0008-32270Medicare ID - Type Unspecified