| Todu Guam Foundation Ltd | |
|
125 Tun Jesus Crisostomo St Ste 104 Tamuning GU 96913-3551 | |
| (671) 649-8638 | |
| (671) 648-5463 |
| Full Name | Todu Guam Foundation Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 125 Tun Jesus Crisostomo St Ste 104, Tamuning, Guam |
| Authorized Official Name and Position | Lena Calvo-rodriguez (PRESIDENT) |
| Authorized Official Contact | 6716498638 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Todu Guam Foundation Ltd 125 Tun Jesus Crisostomo St Ste 104 Tamuning GU 96913-3551 Ph: (671) 649-8638 | Todu Guam Foundation Ltd 125 Tun Jesus Crisostomo St Ste 104 Tamuning GU 96913-3551 Ph: (671) 649-8638 |
| NPI Number | 1063150530 |
|---|---|
| Provider Enumeration Date | 05/24/2022 |
| Last Update Date | 10/01/2026 |
| Certification Date | 10/01/2026 |
| Medicare PECOS PAC ID | 2062884828 |
|---|---|
| Medicare Enrollment ID | O20230206000341 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063150530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Delores J Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760826937 PECOS PAC ID: 3971882846 Enrollment ID: I20161116002394 |
| Provider Name | Edwin Supit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518904812 PECOS PAC ID: 2466449863 Enrollment ID: I20170113001952 |
| Provider Name | Stephanie R Taijeron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487167995 PECOS PAC ID: 2163780644 Enrollment ID: I20171212000578 |
| Provider Name | Ramel a Carlos |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508828062 PECOS PAC ID: 2062409113 Enrollment ID: I20190312003105 |
| Provider Name | Julie S Namm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740515030 PECOS PAC ID: 2163617283 Enrollment ID: I20220208002766 |
| Provider Name | Elena Kirilova Taneva-cholakova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417628306 PECOS PAC ID: 9335534734 Enrollment ID: I20220322002064 |
| Provider Name | Alan Taira Butler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255707717 PECOS PAC ID: 5799129524 Enrollment ID: I20240220001569 |
| Provider Name | Sylvia S. Cruz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225008105 PECOS PAC ID: 9638219066 Enrollment ID: I20241009004309 |
| Provider Name | Danny Mcclure |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073855409 PECOS PAC ID: 7416228721 Enrollment ID: I20241025000622 |
| Provider Name | Sam Hwa Song |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447207303 PECOS PAC ID: 9234146705 Enrollment ID: I20250407002463 |
| Provider Name | Marianne S Muchura |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518128586 PECOS PAC ID: 9335390830 Enrollment ID: I20250923002878 |
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