Healthcare Provider Details

I. General information

NPI: 1063690451
Provider Name (Legal Business Name): MVN INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2008
Last Update Date: 06/12/2025
Certification Date: 05/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BRI BUILDING KOPA DI ORU ST. GARAPAN, SUITE 102
SAIPAN MP
96950
US

IV. Provider business mailing address

PO BOX 9663
TAMUNING GU
96931-5663
US

V. Phone/Fax

Practice location:
  • Phone: 670-323-6870
  • Fax: 670-323-8741
Mailing address:
  • Phone: 670-323-6870
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number17292
License Number StateMP

VIII. Authorized Official

Name: GIA B RAMOS
Title or Position: PRESIDENT
Credential: RN
Phone: 671-688-4421