| American Samoa Medical Center | |
|
1turner Dr Pago AS 96799-0010 | |
| (684) 633-1222 | |
| Not Available |
| Full Name | American Samoa Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 1turner Dr, Pago, American Samoa |
| Authorized Official Name and Position | Sabrina Felila Leaupepe-valaulu (ACTING CFO) |
| Authorized Official Contact | 6846331222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| American Samoa Medical Center Po Box Lbj Pago Pago AS 96799-0010 Ph: (684) 633-1222 | American Samoa Medical Center 1turner Dr Pago AS 96799-0010 Ph: (684) 633-1222 |
| NPI Number | 1043085681 |
|---|---|
| Provider Enumeration Date | 11/22/2023 |
| Last Update Date | 04/01/2025 |
| Medicare PECOS PAC ID | 4385545870 |
|---|---|
| Medicare Enrollment ID | O20240102002464 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043085681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Iotamo T Saleapaga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578756656 PECOS PAC ID: 1658596770 Enrollment ID: I20140703001875 |
| Provider Name | Rubie Anne Ebio Espinosa |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972292225 PECOS PAC ID: 1254782006 Enrollment ID: I20240105003614 |
| Provider Name | Oliver Adriano |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083048821 PECOS PAC ID: 2860843695 Enrollment ID: I20240105004205 |
| Provider Name | Faiaoga Tosi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982705125 PECOS PAC ID: 2466803127 Enrollment ID: I20240105004271 |
| Provider Name | Harold S Walker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831188499 PECOS PAC ID: 9133115348 Enrollment ID: I20240110004009 |
| Provider Name | Sitiveni Traill |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447684287 PECOS PAC ID: 6103277454 Enrollment ID: I20240110004804 |
| Provider Name | Christian Leepo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881382406 PECOS PAC ID: 8426409772 Enrollment ID: I20240110004939 |
| Provider Name | Akapusi Ledua |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093946741 PECOS PAC ID: 0547156101 Enrollment ID: I20240111004719 |
| Provider Name | Robert Gayapa |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245674183 PECOS PAC ID: 0840641924 Enrollment ID: I20240112003454 |
| Provider Name | Jose Marcelino J D Tana |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1174026850 PECOS PAC ID: 0345691432 Enrollment ID: I20240112003683 |
| Provider Name | Kamlesh Kumar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407290349 PECOS PAC ID: 5395197487 Enrollment ID: I20240112004131 |
| Provider Name | Larry Lagatiana |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1871040535 PECOS PAC ID: 0244682342 Enrollment ID: I20240113000003 |
| Provider Name | Efren N Yuchongco |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609223080 PECOS PAC ID: 6901258029 Enrollment ID: I20240113000722 |
| Provider Name | Winifredo S Tiangco |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1356128680 PECOS PAC ID: 6800248923 Enrollment ID: I20240113000762 |
| Provider Name | Mary Rose Aragon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366151011 PECOS PAC ID: 7012369580 Enrollment ID: I20240119002837 |
| Provider Name | Ianeta A Liaina |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366835142 PECOS PAC ID: 6709238165 Enrollment ID: I20240122001862 |
| Provider Name | Argel S Aragon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518676261 PECOS PAC ID: 4688026040 Enrollment ID: I20240122001962 |
| Provider Name | Miliakere Baleilevuka |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275270522 PECOS PAC ID: 7517319916 Enrollment ID: I20240122002972 |
| Provider Name | Jemesa N Matalau |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932818770 PECOS PAC ID: 6204288608 Enrollment ID: I20240122003179 |
| Provider Name | Inosi Vatucicila |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013617109 PECOS PAC ID: 9537511936 Enrollment ID: I20240122003305 |
| Provider Name | Ana Jane Bonita |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1770299257 PECOS PAC ID: 6608228010 Enrollment ID: I20240122003488 |
| Provider Name | Naomi M Dane |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609425727 PECOS PAC ID: 1951753276 Enrollment ID: I20240122004285 |
| Provider Name | Chrys Kristofferson P Aguilera |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497304455 PECOS PAC ID: 0749632065 Enrollment ID: I20240122004363 |
| Provider Name | Gary C Bernabe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083174338 PECOS PAC ID: 5496107773 Enrollment ID: I20240123001474 |
| Provider Name | Nestor Devesi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891431748 PECOS PAC ID: 0648622977 Enrollment ID: I20240123003301 |
| Provider Name | Leute Leota |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1770045346 PECOS PAC ID: 2860845880 Enrollment ID: I20240125004615 |
| Provider Name | Eileen G Yandall |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1912636911 PECOS PAC ID: 8325491236 Enrollment ID: I20240126003334 |
| Provider Name | Lumepa T Matatia-kuki |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1225777634 PECOS PAC ID: 5395198212 Enrollment ID: I20240126003526 |
| Provider Name | Dexter T Chute |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265141006 PECOS PAC ID: 0547613374 Enrollment ID: I20240129002732 |
| Provider Name | Susana M Pene |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134743008 PECOS PAC ID: 3476906215 Enrollment ID: I20240129003133 |
| Provider Name | Mamerto Garvez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962149815 PECOS PAC ID: 1557714391 Enrollment ID: I20240129003166 |
| Provider Name | Tirisayane Silatolu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063158830 PECOS PAC ID: 4082067822 Enrollment ID: I20240129003207 |
| Provider Name | Aloima Teatu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841992609 PECOS PAC ID: 1355794090 Enrollment ID: I20240129003270 |
| Provider Name | Carrial E Leziton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184070757 PECOS PAC ID: 6608229349 Enrollment ID: I20240129003345 |
| Provider Name | Sumeet S Chand |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467161216 PECOS PAC ID: 7911350657 Enrollment ID: I20240129003552 |
| Provider Name | Olita Laititi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790119329 PECOS PAC ID: 3971956624 Enrollment ID: I20240129003778 |
| Provider Name | Valentina N Pola-tunoa |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1558824557 PECOS PAC ID: 0749630812 Enrollment ID: I20240129003872 |
| Provider Name | Vika Savelaca |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1578202982 PECOS PAC ID: 9830542588 Enrollment ID: I20240129003975 |
| Provider Name | Arnel M Macaballug |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689018525 PECOS PAC ID: 3274986930 Enrollment ID: I20240129004114 |
| Provider Name | Nikasio P Koroi |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1891434270 PECOS PAC ID: 7214380971 Enrollment ID: I20240129004284 |
| Provider Name | Maria V Gayapa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871151506 PECOS PAC ID: 8123471885 Enrollment ID: I20240129004286 |
| Provider Name | Dmitri Orleanski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770976557 PECOS PAC ID: 2567815228 Enrollment ID: I20240129004369 |
| Provider Name | Rodney Tupua |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1750010864 PECOS PAC ID: 3173976842 Enrollment ID: I20240129004487 |
| Provider Name | Bienaida L Vergara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912390790 PECOS PAC ID: 4981057692 Enrollment ID: I20240130001172 |
| Provider Name | Jerry T Kena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568896397 PECOS PAC ID: 1850744582 Enrollment ID: I20240130001768 |
| Provider Name | Faletoi D Uso |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1831828839 PECOS PAC ID: 8729431457 Enrollment ID: I20240130001911 |
| Provider Name | Rosario D Palo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598455685 PECOS PAC ID: 1355794082 Enrollment ID: I20240130001939 |
| Provider Name | Petueli N Emose |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1184371916 PECOS PAC ID: 0547613176 Enrollment ID: I20240130002353 |
| Provider Name | Laudan T Kotoitubou |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508512336 PECOS PAC ID: 5799138335 Enrollment ID: I20240130002521 |
| Provider Name | Christina A Pola |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1871232272 PECOS PAC ID: 7911350467 Enrollment ID: I20240131002706 |
| Provider Name | Tafou A Fuiono |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750088100 PECOS PAC ID: 5496108235 Enrollment ID: I20240215003157 |
| Provider Name | Luz A Bernabe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497300222 PECOS PAC ID: 2163869306 Enrollment ID: I20240322002141 |
| Provider Name | Lavenia Inoke-besetimoala |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598158370 PECOS PAC ID: 6608213848 Enrollment ID: I20240322002202 |
| Provider Name | Kalinimolikula N.l. Siliasau |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881166221 PECOS PAC ID: 2567809726 Enrollment ID: I20240322003336 |
| Provider Name | Samu Silatolu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952873481 PECOS PAC ID: 0749627917 Enrollment ID: I20240322003371 |
| Provider Name | Noreen M Takubala |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1265161376 PECOS PAC ID: 6002253275 Enrollment ID: I20240322003432 |
| Provider Name | Roner R Mendoza |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851747745 PECOS PAC ID: 1355788522 Enrollment ID: I20240322003500 |
| Provider Name | Salofi A Laititi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1194118976 PECOS PAC ID: 7214374487 Enrollment ID: I20240322003685 |
| Provider Name | Joselito De Leon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659843019 PECOS PAC ID: 6204273477 Enrollment ID: I20240322003783 |
| Provider Name | Aitofele P Sunia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558818229 PECOS PAC ID: 2062305592 Enrollment ID: I20240322004123 |
| Provider Name | Amor B Gonzales |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1073960456 PECOS PAC ID: 8224475454 Enrollment ID: I20240325000825 |
| Provider Name | Semi Saulaki |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114781077 PECOS PAC ID: 2961849922 Enrollment ID: I20240326002444 |
| Provider Name | Fiatele Porotesano |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538552302 PECOS PAC ID: 2961849955 Enrollment ID: I20240326003280 |
| Provider Name | Mikhail Kislitcyn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1083478226 PECOS PAC ID: 1557708542 Enrollment ID: I20240326003461 |
| Provider Name | Aloiamoa R Anesi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770790768 PECOS PAC ID: 6800233891 Enrollment ID: I20240326003551 |
| Provider Name | Akosita Lesuma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467845248 PECOS PAC ID: 4486091485 Enrollment ID: I20240326003811 |
| Provider Name | Nerisa Leaumoana Faumuina |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1629832852 PECOS PAC ID: 6901243906 Enrollment ID: I20240326003906 |
| Provider Name | Helen Grace B Salvador |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447015276 PECOS PAC ID: 4486091493 Enrollment ID: I20240326004236 |
| Provider Name | Priyashna P Chand |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1083475339 PECOS PAC ID: 5092154625 Enrollment ID: I20240416002226 |
| Provider Name | Jay D Lincoln |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609361641 PECOS PAC ID: 4789023110 Enrollment ID: I20240418002215 |
| Provider Name | Robert H Blotter |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861403719 PECOS PAC ID: 7214954957 Enrollment ID: I20240603003084 |
| Provider Name | Tikeri N Anesi |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1700631116 PECOS PAC ID: 8628510468 Enrollment ID: I20240607000432 |
| Provider Name | Cristina R Castaneda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073397543 PECOS PAC ID: 1759823446 Enrollment ID: I20240610002182 |
| Provider Name | Bethel T Muasau-howard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548490154 PECOS PAC ID: 6406398304 Enrollment ID: I20240618002695 |
| Provider Name | Rose O Naesol |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871347336 PECOS PAC ID: 7012450042 Enrollment ID: I20240619000856 |
| Provider Name | Auvou K Tugia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356103964 PECOS PAC ID: 1557804200 Enrollment ID: I20240621002964 |
| Provider Name | Rabebe Tekeraoi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1780445056 PECOS PAC ID: 8224572698 Enrollment ID: I20240627000725 |
| Provider Name | Benjamin D Siatu'u |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1508157561 PECOS PAC ID: 8820239130 Enrollment ID: I20240722003390 |
| Provider Name | Fiona M Traill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063868941 PECOS PAC ID: 8729525365 Enrollment ID: I20240801000373 |
| Provider Name | Jennifer Tarnay |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1386073286 PECOS PAC ID: 0244777373 Enrollment ID: I20240806003930 |
| Provider Name | Brian F Guevara |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164286548 PECOS PAC ID: 5496293896 Enrollment ID: I20240816000650 |
| Provider Name | John M Tuitele |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548490386 PECOS PAC ID: 3072950104 Enrollment ID: I20240817000508 |
| Provider Name | Jan-ryan T Dane |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1356884381 PECOS PAC ID: 0042758351 Enrollment ID: I20240819000854 |
| Provider Name | Mary L Mataia |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1730943754 PECOS PAC ID: 4688011638 Enrollment ID: I20240823001594 |
| Provider Name | Ateca M.v Siliasau |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063157543 PECOS PAC ID: 5294274478 Enrollment ID: I20240903000052 |
| Provider Name | Maria R Cabio |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386482313 PECOS PAC ID: 9739628835 Enrollment ID: I20240903001299 |
| Provider Name | Emelia B Santamaria |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356171730 PECOS PAC ID: 3173063617 Enrollment ID: I20240910004688 |
| Provider Name | Aitaoto N Aitaoto |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265830194 PECOS PAC ID: 0547701252 Enrollment ID: I20240923000207 |
| Provider Name | Anne Marie C Suleik-yu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124853643 PECOS PAC ID: 4880126911 Enrollment ID: I20241015001098 |
| Provider Name | Joemil D Donasco |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912732454 PECOS PAC ID: 0143752196 Enrollment ID: I20241015002087 |
| Provider Name | Rhoda Mae B Donasco |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1245065788 PECOS PAC ID: 4183156136 Enrollment ID: I20241015002319 |
| Provider Name | Carol Anne Louise C Sicat |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962221374 PECOS PAC ID: 9133653546 Enrollment ID: I20241107002668 |
| Provider Name | Aigaeiva F Sesega |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174269849 PECOS PAC ID: 5092257006 Enrollment ID: I20241107003124 |
| Provider Name | Concordio B De Quiroz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225811961 PECOS PAC ID: 4688113707 Enrollment ID: I20241107003321 |
| Provider Name | Tile A Ah Leong-lui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043090020 PECOS PAC ID: 1658805080 Enrollment ID: I20241107003471 |
| Provider Name | Alvin M Cabio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902624711 PECOS PAC ID: 0244764678 Enrollment ID: I20241107003651 |
| Provider Name | Pilipinas Flotildes-agudo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598583163 PECOS PAC ID: 6507390945 Enrollment ID: I20241107003748 |
| Provider Name | Sam Eroni Fullman |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1851171839 PECOS PAC ID: 7911446067 Enrollment ID: I20241107003899 |
| Provider Name | Abraham E Leiato |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144542234 PECOS PAC ID: 5799219010 Enrollment ID: I20241108003526 |