Organization
GENESIS MEDICAL SUPPLY AND MEDICAL EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MIRIAM ROCIO LACEN RIVAS (ADMINISTRATOR)
(787) 223-9176
Entity
Organization
Contact information
Practice address
G10 AVENIDA PRINCIPAL SUITE 2, URB BARALT, FAJARDO, PR 00738
(787) 494-5252
Mailing address
PO BOX 887, FAJARDO, PR 00738-0887
(787) 494-5252
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/15/2019
Last updated
05/15/2019
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