Genesis Medical Practice, Inc.

NPI 1083676480 - Point of Service - 305S00000X

NPI Details
NPI 1083676480
Enumeration Date 04/03/2006
Last Updated 12/09/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name BRENDA LEE BRENDA
Position ADMINISTRATOR
Phone (787) 285-2415
Fax (787) 285-4590
Practice Location
14 CALLE MIGUEL CASILLAS
HUMACAO PR, 00791-3638, US
Phone (787) 285-2415
Fax (787) 285-4590
Business Location
PO BOX 890
MCS 549
HUMACAO PR, 00792-0890, US
Phone (787) 285-2415
Fax (787) 285-4590
Toxanomy
Taxonomy Code 305S00000X
License State
License Number
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According to our database, Genesis Medical Practice, Inc. NPI is 1083676480, taxonomy code is 305S00000X Genesis Medical Practice, Inc. physically located at 14 Calle Miguel Casillas, Humacao PR, 00791-3638. NPI Number 1033115704 has the healthcare provider type.

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1083676480 NPI number is provided on an as is basis without warranty of any kind. 1083676480 is maintained by the National Plan & Provider Enumeration System. The contents of Genesis Medical Practice, Inc. are for informational purposes only.