Individual
DR. EDNA GANACIAS-ACUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
133 ROUTE 3, DEDEDO, GU 96929-6911
(671) 645-5500
(671) 645-5549
Mailing address
133 ROUTE 3, DEDEDO, GU 96929-6911
(671) 645-5500
(671) 645-5549
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
M-1751
GU
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
M-1751
GU
2083P0901X
Public Health & General Preventive Medicine Physician
M-1751
GU
208D00000X
General Practice Physician
E3693
TX
251E00000X
Home Health Agency
M-1751
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128212106
—
TX
01
—
8BX258
BLUE CROSS
TX
Enumeration date
05/28/2006
Last updated
01/20/2025
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