Provider Demographics
NPI:1376248476
Name:MARIANAS MEDICAL SERVICES
Entity Type:Organization
Organization Name:MARIANAS MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STAFF
Authorized Official - Prefix:
Authorized Official - First Name:GIANNA MARIE
Authorized Official - Middle Name:TAIJERON
Authorized Official - Last Name:SANTOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:671-929-6998
Mailing Address - Street 1:331 SAN ANTONIO ST
Mailing Address - Street 2:
Mailing Address - City:BARRIGADA
Mailing Address - State:GU
Mailing Address - Zip Code:96913-1361
Mailing Address - Country:US
Mailing Address - Phone:671-929-6998
Mailing Address - Fax:
Practice Address - Street 1:331 SAN ANTONIO ST
Practice Address - Street 2:
Practice Address - City:BARRIGADA
Practice Address - State:GU
Practice Address - Zip Code:96913-1361
Practice Address - Country:US
Practice Address - Phone:671-929-6998
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-31
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)