# GENESIS ANESTHESIA SERVICES, PSC

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

## Provider details

- **NPI number:** 1821078882
- **Authorized official:** ROBERTO BAYRON-VELEZ MD (ADMINISTRATOR)
- **Authorized official phone:** (787) 805-1818

## Contact information

- **Practice address:** HOSPITAL BELLA VISTA CARR 349 KM 2.7 CERRO LAS MESAS, MAYAGUEZ, PR 00680
- **Practice address phone:** (787) 805-1818
- **Practice address fax:** (787) 832-1585
- **Mailing address:** PO BOX 6450, MAYAGUEZ, PR 00681-6450
- **Mailing address phone:** (787) 805-1818
- **Mailing address fax:** (787) 832-1585

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/18/2006
- **Last updated:** 07/01/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1696 | AMERICAN HEALTH INSURANCE | — |
| 01 | — | 32516 | ASPCIACION DE MAESTROS DE | — |
| 01 | — | 61101 | HUMANA GOLD CHOICE | — |
| 01 | — | 6810035 | HUMANA INSURANCE OF PR | — |
| 01 | — | 9242 | FIRST MEDICAL | — |
| 01 | — | ========= | GHI | — |