Organization
GENESIS NEUROLOGIA PEDIATRICA LLC
Active
Organization
GENESIS NEUROLOGIA PEDIATRICA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GENESIS N AYALA LOPEZ MD (OWNER)
(787) 396-0014
Entity
Organization
Contact information
Practice address
S-3 #1 CARR 21, URB LAS LOMAS, SAN JUAN, PR 00921-4225
(787) 396-0014
Mailing address
PO BOX 405, SAN LORENZO, PR 00754-0405
(787) 396-0014
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
—
—
Other
Enumeration date
08/17/2026
Last updated
09/03/2026
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