| Spectrum Preventive Health | |
|
280 Pale San Vitores Rd Tamuning GU 96913-3615 | |
| (671) 689-4219 | |
| Not Available |
| Full Name | Spectrum Preventive Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 280 Pale San Vitores Rd, Tamuning, Guam |
| Authorized Official Name and Position | Vincent Duenas (CEO) |
| Authorized Official Contact | 6716894219 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Preventive Health 214 Lakeview Dr Yona GU 96915-6658 Ph: (671) 689-4219 | Spectrum Preventive Health 280 Pale San Vitores Rd Tamuning GU 96913-3615 Ph: (671) 689-4219 |
| NPI Number | 1043021546 |
|---|---|
| Provider Enumeration Date | 01/15/2025 |
| Last Update Date | 09/16/2025 |
| Certification Date | 09/16/2025 |
| Medicare PECOS PAC ID | 7911403621 |
|---|---|
| Medicare Enrollment ID | O20251001003758 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043021546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| Provider Name | Vincent S Duenas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134430192 PECOS PAC ID: 6901032861 Enrollment ID: I20131122001878 |
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