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Organization
GENESIS MEDICAL GROUP, INC
Active
Organization
GENESIS MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANCISCO MARTINEZ-CANABATE MD (PRESIDENT)
(787) 285-2415
Entity
Organization
Contact information
Practice address
14 CALLE MIGUEL CASILLAS, HUMACAO, PR 00791-3638
(787) 285-2415
(787) 285-4590
Mailing address
PO BOX 890, MCS 549, HUMACAO, PR 00792-0890
(787) 285-2415
(787) 285-4590
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
NULL
305R00000X
Preferred Provider Organization
—
NULL
305S00000X
Point of Service
—
NULL
Other
Enumeration date
01/18/2006
Last updated
10/11/2007
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