Healthcare Provider Details

I. General information

NPI: 1316436538
Provider Name (Legal Business Name): GABRIEL CHRISTOPHER MENDOZA LAPID MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2018
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

744 N MARINE CORPS DR STE C-211
TAMUNING GU
96913-4426
US

IV. Provider business mailing address

744 N MARINE CORPS DR STE C-211
TAMUNING GU
96913-4426
US

V. Phone/Fax

Practice location:
  • Phone: 671-588-1588
  • Fax: 671-647-1587
Mailing address:
  • Phone: 671-588-1588
  • Fax: 671-647-1587

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberM-2479
License Number StateGU

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: