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Organization

GENESIS MEDICAL EQUIPMENT AND PHARMACY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MIRIAM LACEN (PRESIDENT)
(787) 863-1330
Entity
Organization

Contact information

Practice address
G10 CALLE PRINCIPAL, URB BARALT, FAJARDO, PR 00738-3774
(787) 863-1330
(787) 863-1325
Mailing address
PO BOX 887, FAJARDO, PR 00738-0887
(787) 863-1330
(787) 863-1325

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
3336C0003X
Community/Retail Pharmacy
14-F-3060
PR

Other

Enumeration date
06/13/2006
Last updated
10/11/2012
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