Genoma Medical Group, Corp

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

GENOMA MEDICAL GROUP, CORP

Practice address

7000 SW 97TH Ave Ste 201
Miami, FL 33173-1492

Phone

(305) 392-1264

Fax

(305) 646-1756

NPI assigned

Jul 10, 2021

Organization subpart

No

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

Authorized official

Name

Itsel Cardenas Ramon, APRN

Title

Vice-President

Phone

(305) 392-1264

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Delores Macksoud, MD

  • Neurology Physician
  • Miami, FL
  • NPI 1962594580
  NPD (past)

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

{
    "created_epoch": "1625875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639526400000",
    "number": "1316519358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 SW 97TH AVE STE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331731492",
            "telephone_number": "305-392-1264",
            "fax_number": "305-646-1756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 SW 97TH AVE STE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331731492",
            "telephone_number": "305-392-1264",
            "fax_number": "305-646-1756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENOMA MEDICAL GROUP, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-10",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A",
        "authorized_official_last_name": "CARDENAS RAMON",
        "authorized_official_first_name": "ITSEL",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "305-392-1264",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dinah Margaret Geneve, FNP
• Maria del Pilar Gennaro, ARNP
• Jose Rafael Geno, D.M.D, P.A
• Genoa Healthcare LLC
• Genoa Healthcare LLC
• Genosur LLC
• Brenda Maria Genoves
• Bettina D Gensollen, LMHC
• Katherine Dale Genther, M.D.
• Mayte Gentil Gomez, FNP

• Primary Care Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; 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.