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Organization

GENESIS MEDICAL PRACTICE, INC.

Active
Other names
Genesis
Organization subpart
No

Provider details

NPI number
Authorized official
MISS BRENDA LEE VELAZQUEZ PEREZ (ADMINISTRATOR)
(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
305S00000X
Point of Service
Primary

Other

Enumeration date
04/03/2006
Last updated
12/09/2008
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