| Organization Name: | SAGUA MANAGU |
| NPI Number: | 1013110410 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANTOLINA S LEON GUERRERO (GENERAL MANAGER) |
| Mailing Address: | 472 Chalan San Antonio Pe Mar Place Tamuning |
| State: | GU US |
| Postal Code: | 969133605 |
| Phone Number: | 6716471830 |
| Fax Number: | 6716471919 |
| NPI Enumeration Date: | 06/06/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QB0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Birthing |
| Taxonomy Definition: | |