Individual
DR. MAXUEL E. GENAO ENCARNACION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
ZA1 CALLE 36, URB. RIVERVIEW, BAYAMON, PR 00961-3929
(787) 785-2694
(787) 787-3109
Mailing address
PO BOX 50027, TOA BAJA, PR 00950-0027
(787) 785-2694
(787) 787-3109
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
11201
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
87629
TRIPLE-S
PR
Enumeration date
09/23/2005
Last updated
04/04/2012
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