Provider Demographics
NPI:1770359937
Name:MARIANAS PACIFIC INC.
Entity type:Organization
Organization Name:MARIANAS PACIFIC INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARICEL
Authorized Official - Middle Name:GATDULA
Authorized Official - Last Name:QUINDOZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-756-7272
Mailing Address - Street 1:PO BOX 10119
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96721-5119
Mailing Address - Country:US
Mailing Address - Phone:808-756-7272
Mailing Address - Fax:
Practice Address - Street 1:64 KEAWE ST
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-2486
Practice Address - Country:US
Practice Address - Phone:808-756-7272
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-29
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care