# MARIANAS PHYSICIANS GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952751448
- **Authorized official:** ANTOLINA LEON GUERRERO (GENERAL MANAGER)
- **Authorized official phone:** (671) 647-1414

## Contact information

- **Practice address:** 472 CHALAN SAN ANTONIO, PEMAR PLACE, TAMUNING, GU 96913-3605
- **Practice address phone:** (671) 647-1830
- **Practice address fax:** (671) 647-1919
- **Mailing address:** 472 CHALAN SAN ANTONIO, PEMAR PLACE, TAMUNING, GU 96913-3605
- **Mailing address phone:** (671) 647-1830
- **Mailing address fax:** (671) 647-1919

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | M001039 | GU | Yes |

## Other

- **Enumeration date:** 06/15/2016
- **Last updated:** 06/15/2016