Provider Demographics
NPI:1699705277
Name:DE GUZMAN, GABRIEL BANU (MD)
Entity type:Individual
Prefix:DR
First Name:GABRIEL
Middle Name:BANU
Last Name:DE GUZMAN
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:PO BOX 501908
Mailing Address - Street 2:GUALO RAI
Mailing Address - City:SAIPAN
Mailing Address - State:MP
Mailing Address - Zip Code:96950-1908
Mailing Address - Country:US
Mailing Address - Phone:670-233-8100
Mailing Address - Fax:670-233-8102
Practice Address - Street 1:PACIFIC MEDICAL CENTER, MIDDLE ROAD BUILDONG
Practice Address - Street 2:
Practice Address - City:SAIPAN
Practice Address - State:MP
Practice Address - Zip Code:96950-1908
Practice Address - Country:US
Practice Address - Phone:670-233-8100
Practice Address - Fax:670-233-8102
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2013-04-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MP0356207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine