Genesis Medical Practice, Inc.
NPI #1083676480 in Humacao, Puerto Rico
Provider Information
- NPI Number
- 1083676480
- Entity Type
- Organization
- Organization Name
- Genesis Medical Practice, Inc.
- Primary Specialty
- Point of Service
- Enumeration Date
- Apr 3, 2006
- Last Updated
- Dec 9, 2008
Practice Location
- Address
- 14 CALLE MIGUEL CASILLAS
- City
- Humacao
- State
- Puerto Rico
- ZIP Code
- 00791-3638
- Phone
- (787) 285-2415
Authorized Official
- Name
- MISS BRENDA LEE VELAZQUEZ PEREZ
- Title
- ADMINISTRATOR
- Phone
- (787) 285-2415
Specialties & Taxonomy Codes
| Specialty |
|---|
| Point of Service |
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