=====================================================
General NPI Number Information
=====================================================
NPI Number | 1063324358
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DEPARTMENT OF FIRE AND EMERGENCY MEDICAL SERVICES (DFEMS)
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/21/2026
-----------------------------------------------------
Last Update Date | 09/24/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | ASCENCION CT. CAPITOL HILL
-----------------------------------------------------
City | SAIPAN
-----------------------------------------------------
State | MP
-----------------------------------------------------
Zip | 96950
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 670-664-0009
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 7068
-----------------------------------------------------
City | SAIPAN
-----------------------------------------------------
State | MP
-----------------------------------------------------
Zip | 96950-7068
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 670-664-0009
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DFEMS COMMISSIONER
-----------------------------------------------------
Name | JUAN A. PUA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 670-664-0009
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3416L0300X
-----------------------------------------------------
Taxonomy Name | Land Ambulance
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------