Genesis Medical Group, Inc

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

GENESIS MEDICAL GROUP, INC

Practice address

14 Calle Miguel Casillas
Humacao, PR 00791-3638

Phone

(787) 285-2415

Fax

(787) 285-4590

NPI assigned

Jan 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Francisco Martinez-Canabate, MD

Title

President

Phone

(787) 285-2415

Specialties & licenses 3

Addresses

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 Practice, Inc.

  • Point of Service
  • Humacao, PR
  • NPI 1083676480
  NPD tax ID

Locations

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1457331308",
    "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 GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-18",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ-CANABATE",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-285-2415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mayra Garcia
• Julio F Garriga, PHARMD
• GC OD LLC
• GCS Med LLC
• Geneizaack Medical Transport
• Genesis Medical Practice, Inc.
• Olga Alicia Gerena Hernandez, PA
• Jacqueline Giannoni, SLP
• Go Med LLC
• Edgardo Godoy

• Health Maintenance Organization in Humacao, PR
• Providers in Humacao, PR by specialty
• Health Maintenance Organization in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.