Organization Active NPI

Genetic Diagnostic Group

  • Clinical Genetics (M.D.) Physician
  • Santurce, PR
National Provider Identifier
1063541019
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X
Legal business name
GENETIC DIAGNOSTIC GROUP
Practice address
252 San Jorge Street
San Jorge Medical Building Suite 408
Santurce, PR 00912-0000
Phone
(787) 728-8316
Fax
(787) 728-8316
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Alberto Santiago Cornier, M.D.NPI 1285763144
Title
President
Phone
(787) 728-8316

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Genetics (M.D.) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207SG0201X Primary

Addresses

Primary practice location

252 San Jorge Street
San Jorge Medical Building Suite 408
Santurce, PR 00912-0000

Mailing address

PO Box 87
Mayaguez, PR 00681-0087
Phone (787) 728-8316

National Provider Directory

National Provider Directory

Locations

252 Calle San Jorge
Ste 408
Santurce, PR 00912
Phone (787) 728-8316

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063541019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006810087",
            "telephone_number": "787-728-8316",
            "fax_number": "787-728-8316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 SAN JORGE STREET",
            "address_2": "SAN JORGE MEDICAL BUILDING SUITE 408",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "009120000",
            "telephone_number": "787-728-8316",
            "fax_number": "787-728-8316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENETIC DIAGNOSTIC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO CORNIER",
        "authorized_official_first_name": "ALBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-728-8316",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santurce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.