NPI 1083676480
Genesis Medical Practice, INC.
Practice location
- Address
- 14 Calle Miguel Casillas, Humacao, PR 00791-3638
- Phone
- (787) 285-2415
- Fax
- (787) 285-4590
- Mailing address
- PO Box 890 McS 549, Humacao, PR 00792-0890
Authorised official
- Name
- Brenda Lee Velazquez Perez
- Title
- Administrator
- Phone
- (787) 285-2415
Registered specialties
Point of Service
Primary
Registry record
- NPI
- 1083676480
- Entity type
- Organization
- NPI issued
- 3 Apr 2006
- Record last updated
- 9 Dec 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.