Organization
GENESIS MEDICAL TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN M FONSECA TCAMB518 (PRESIDENT)
(787) 217-8040
Entity
Organization
Contact information
Practice address
201 CALLE 43, PARCELA FALU, SAN JUAN, PR 00924-3124
(787) 217-8040
Mailing address
201 CALLE 43, PARCELA FALU, SAN JUAN, PR 00924-3124
(787) 217-8040
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
TCAMB518
PR
Other
Enumeration date
02/27/2008
Last updated
02/27/2008
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