# GENESIS AMBULATORY MEDICAL CARE INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093753790
- **Authorized official:** MRS. COLOMBIA PATINO (PRESIDENT)
- **Authorized official phone:** (305) 227-8878

## Contact information

- **Practice address:** 13780 SW 26TH ST, SUITE 205, MIAMI, FL 33175-6302
- **Practice address phone:** (305) 227-8878
- **Mailing address:** 13780 SW 26TH ST, SUITE 205, MIAMI, FL 33175-6302
- **Mailing address phone:** (305) 227-8878

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 261QP3300X | Pain Clinic/Center | — | NULL | — |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 06/03/2006
- **Last updated:** 12/04/2007
