OrganizationActive
Mariano Prime LLC
NPI 1780959676 · Durable Medical Equipment & Medical Supplies · Tamuning, GU
Provider details
- NPI number
- 1780959676
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Parent organization
- Mariano Prime LLC
- Organization subpart
- Yes
- Authorized official
- Mark Mariano, General Manager(671) 649-5833
Specialties & taxonomies
Suppliers
Practice location
255 Farenholt Ave
Tamuning, GU 96913-3209
Phone: (671) 649-5833
Fax: (671) 649-5830
Mailing address
255 Farenholt Ave
Tamuning, GU 96913-3209
Other names (DBA / former)
- Doing business as
- MD Wholesale
Registry dates
- Enumerated
- 2012-03-12
- Last updated
- 2012-03-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.