Provider Demographics
NPI:1548943962
Name:MARIANAS REPRODUCTIVE INSTITUTE, INC
Entity type:Organization
Organization Name:MARIANAS REPRODUCTIVE INSTITUTE, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:AUDREY
Authorized Official - Last Name:BUETTNER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:670-783-1367
Mailing Address - Street 1:P.O. BOX 5640-CHRB
Mailing Address - Street 2:
Mailing Address - City:SAIPAN
Mailing Address - State:MP
Mailing Address - Zip Code:96950-5555
Mailing Address - Country:US
Mailing Address - Phone:670-783-1367
Mailing Address - Fax:
Practice Address - Street 1:725 BEACH ROAD
Practice Address - Street 2:SUITE 101
Practice Address - City:SAIPAN
Practice Address - State:MP
Practice Address - Zip Code:96950
Practice Address - Country:US
Practice Address - Phone:670-783-1367
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-11
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
No261QA0006XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Fertility FacilityGroup - Single Specialty