Organization
ISLA PEDIATRICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MARCO HANIU GARRIDO M.D. (PRESIDENT / PHYSICIAN)
(671) 647-4466
Entity
Organization
Contact information
Practice address
132 E ESPIRITO ST, TAMUNING, GU 96913-3834
(671) 647-4466
Mailing address
132 E ESPIRITO ST, TAMUNING, GU 96913-3834
(671) 647-4466
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
M989
GU
Other
Enumeration date
01/19/2015
Last updated
01/19/2015
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