Genesis Medical Practice, Inc.

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

GENESIS MEDICAL PRACTICE, INC.

Practice address

14 Calle Miguel Casillas
Humacao, PR 00791-3638

Phone

(787) 285-2415

Fax

(787) 285-4590

NPI assigned

Apr 3, 2006

Organization subpart

No

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

Authorized official

Name

Miss Brenda Lee Velazquez Perez

Title

Administrator

Phone

(787) 285-2415

Specialties & licenses 1

Addresses

Other names 1

• Genesis Other name

Tax ID family

Genesis2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Genesis Medical Group, Inc

  • Health Maintenance Organization
  • Humacao, PR
  • NPI 1457331308
  NPD tax ID

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228780800000",
    "number": "1083676480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 890",
            "address_2": "MCS 549",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007920890",
            "telephone_number": "787-285-2415",
            "fax_number": "787-285-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 CALLE MIGUEL CASILLAS",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007913638",
            "telephone_number": "787-285-2415",
            "fax_number": "787-285-4590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS MEDICAL PRACTICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2008-12-09",
        "status": "A",
        "authorized_official_last_name": "VELAZQUEZ PEREZ",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-285-2415",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Julio F Garriga, PHARMD
• GC OD LLC
• GCS Med LLC
• Geneizaack Medical Transport
• Genesis Medical Group, Inc
• Olga Alicia Gerena Hernandez, PA
• Jacqueline Giannoni, SLP
• Go Med LLC
• Edgardo Godoy
• Maria Angelica Gomez de Jesus, MD

• Point of Service in Humacao, PR
• Providers in Humacao, PR by specialty
• Point of Service in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; 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.