MEDICARE: DR. DENNIS ANTONIO A SARMIENTO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	M-1401	GU
2	208000000X	Pediatrics Physician	A73905	CA

General Provider Information

NPI Number	:	1114988821
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DENNIS ANTONIO A SARMIENTO M.D.

Provider Business Mailing Address
First Line	:	PO BOX 6037
Second Line	:
City	:	TAMUNING
State	:	GU
Zip	:	96931-6037
Country	:	US
Telephone Number	:	671-482-2412
Fax Number	:

Provider Business Practice Location Address
First Line	:	548 SOUTH MARINE CORPS DRIVE
Second Line	:
City	:	TAMUNING
State	:	GU
Zip	:	96913
Country	:	US
Telephone Number	:	671-646-5825
Fax Number	:	671-647-3546

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2006
Last Update Date	:	01/25/2017

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Directions to “ DR. DENNIS ANTONIO A SARMIENTO M.D.” Practice Location

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