Your Partner in Healthcare.

Our group is dedicated to providing a wide array of outpatient services to meet the need of the people of Guam

Family Medicine and Pediatrics
American Medical Center is committed to bringing the best family medicine and pediatric physicians to help patients on Guam with their General Medical Concerns.

Family Medicine and Pediatrics

  • Annual Physical Exams
  • Health Risk Assessments
  • Preventative Care
  • Disease Screening
  • Chronic Care Management
  • Healthy Lifestyle Counseling
  • Immunization


  • Vincent T. Akimoto, MD
  • Luis Cruz, MD
  • Millecor I. Fojas, MD
  • Hoa V. Nguyen, MD
  • Luan P. Nguyen, MD
  • Jeremy S. Raab, MD
  • Denise Taitano-Ritter, MD
  • Ricardo Terlaje, MD
  • Tien Trinh, MD
  • John M. Garrido, MD
  • April K. Marquez, DO
  • Kirsten A. Raguidin, DO


At American Medical Center (AMC), we understand that your child’s health is your top priority. That’s why we offer a warm and welcoming environment dedicated to providing comprehensive pediatric care for children from infancy to adolescence.

Experienced and Caring Pediatricians

Our team of board-certified pediatricians is passionate about ensuring your child’s healthy growth and development. They have extensive experience treating a wide range of childhood illnesses and
conditions. Our pediatricians are committed to providing personalized care that addresses your child’s specific needs and puts both you and your child at ease.

Services We Offer

  • Well-child checkups and immunizations
  • Management of chronic childhood conditions
  • Treatment for acute illnesses and injuries
  • Developmental screenings and referrals
  • Adolescent health care
  • Nutritional counseling and guidance
  • Pre-participation sports physicals

Why Choose AMC for Your Child’s Care

  • Convenient Locations: We have clinics conveniently located in Mangilao and Upper Tumon to serve families across Guam.
  • Flexible Scheduling: We offer flexible appointment times to fit your busy schedule.
  • Family-Centered Approach: We believe in partnering with parents and caregivers to ensure
    your child receives the best possible care.
  • Friendly and Welcoming Staff: Our staff is dedicated to creating a positive experience for both children and parents.

Schedule an Appointment Today

We understand that finding the right pediatrician for your child is important. We encourage you to schedule a consultation to meet with one of our caring pediatricians and learn more about how we can support your child’s health and well-being.

Annual Physical Examination (APE):

Screening examinations will assist your primary care provider (PCP)/provider assess your overall general health status which creates an open dialogue and establishes rapport. During your APE, your PCP/provider will make recommendations for immunizations and lifestyle management. Patients have the opportunity to discuss any concerns about their health that may need further evaluation or possible treatment. Preventive and health risk assessment screenings are conducted based on age and gender, according to Centers for Disease Control and Prevention and ACSP.

Reviewing your medical history: This includes past illnesses, surgeries, medications you take, and family health history.

Physical examination: The doctor will perform a physical exam to check your vital signs (blood pressure, pulse, temperature, respiration rate), weight, height, and other health indicators. They will also listen to your heart and lungs, examine your abdomen and lymph nodes, and check your reflexes.

Discussion of your health concerns: This is a chance for you to bring up any health issues you are experiencing and ask questions about your health.

Developing a preventive care plan: Your doctor might recommend screenings or vaccinations based on your age, gender, and risk factors. They might also offer guidance on healthy lifestyle habits like diet, exercise, and stress management.

Back Pain Physical

Health Risk Assessment (HRA):

An HRA is a questionnaire designed to identify your risk for developing chronic diseases like heart disease, stroke, diabetes, and some cancers. Here in Guam, some HRAs might consider factors specific to the local population, like family history of specific conditions more prevalent on the island.

The HRA typically asks questions about your:

  • Demographics (age, sex, ethnicity)
  • Medical history
  • Lifestyle habits (diet, exercise, smoking, alcohol use)
  • Family history

Based on your answers, the HRA will give you an estimate of your risk for certain health problems. This information can help you and your doctor develop a personalized plan to improve your health and prevent future issues.

Benefits of APEs and HRAs:

  • Early detection of potential health problems
  • Improved disease management
  • Reduced risk of chronic diseases
  • Promotion of overall health and well-being

Chronic Care Management (CCM)

Chronic Care Management (CCM) in a primary care clinic on Guam, like anywhere else, is a program designed to help patients with long-term health conditions manage their illness effectively. It’s a collaborative effort between patients, their primary care providers (PCPs), and sometimes nurses or other healthcare professionals.

Here’s a breakdown of how CCM works in a primary care setting:

Identification: The clinic identifies patients who would benefit from CCM based on their diagnoses. This could include conditions like diabetes, heart disease, asthma, or mental health conditions.

Care plan development: The PCP works with the patient to develop a personalized care plan that outlines goals, treatment strategies, and self-management techniques.

Ongoing monitoring and support: The clinic staff regularly monitors the patient’s condition, adjusts the care plan as needed, and provides ongoing support and education. This might involve things like medication management, reminders for appointments, healthy lifestyle coaching, and connecting patients with relevant resources.

The focus of CCM is on empowering patients to take an active role in managing their health. Here on Guam, cultural considerations might be incorporated into the program to ensure it’s sensitive to local practices and beliefs.

Chronic Care

Benefits of CCM:

  • Improved health outcomes for patients with chronic conditions
  • Reduced healthcare costs through better disease management and prevention of complications
  • Improved patient satisfaction through increased communication and support