| Mary Elizabeth Coronel Hernandez, MD | |
|
500409 Chalan Kanoa, Commonwealth Health Center, Saipan, MP 96950 | |
| (670) 234-8950 | |
| (670) 234-8700 |
| Full Name | Mary Elizabeth Coronel Hernandez |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 500409 Chalan Kanoa, Saipan, Northern Mariana Islands |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174658124 | NPI | - | NPPES |
| 92873529 | Other | CO | COLORADO MEDICAID PROGRAM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0214X | Pediatrics - Pediatric Pulmonology | 0321 (Northern Mariana Islands) | Secondary |
| 208000000X | Pediatrics | 0321 (Northern Mariana Islands) | Primary |
| Entity Name | Guam Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366519027 PECOS PAC ID: 5890781694 Enrollment ID: O20040426000038 |
| Entity Name | Guam Sleep Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699957274 PECOS PAC ID: 9335215938 Enrollment ID: O20131227001132 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Elizabeth Coronel Hernandez, MD 535 N Marine Corps Dr, Ste 1a, Tamuning, GU 96913-4112 Ph: (671) 647-6669 | Mary Elizabeth Coronel Hernandez, MD 500409 Chalan Kanoa, Commonwealth Health Center, Saipan, MP 96950 Ph: (670) 234-8950 |
Dr. Amanda Rae Holloway, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Lower Navy Hill Road, Saipan, MP 96950 Phone: 670-234-8950 | |
Ms. Nedka Mandoff, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Lower Mary Hill Road, Commonwealth Health Center, Saipan, MP 96950 Phone: 670-234-8950 Fax: 670-236-8600 | |
Ms. Leticia Pangelinan Borja, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Lower Navy Hill, Commonwealth Health Center, Saipan, MP 96950 Phone: 670-234-8950 Fax: 670-236-8600 | |
Tuyet Thi Nguyen, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Commonwealth Health Center Saipan Mp 96950, 1 Lower Mary Hill Road, Saipan, MP 96950 Phone: 670-234-8950 |