Organization Active NPI

Genesis Medical Equipment and Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Fajardo, PR
National Provider Identifier
1821031642
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
GENESIS MEDICAL EQUIPMENT AND PHARMACY
Practice address
G10 Calle Principal
Urb Baralt
Fajardo, PR 00738-3774
Phone
(787) 863-1330
Fax
(787) 863-1325
NPI assigned
Jun 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Authorized official

Name
Mrs. Miriam Lacen
Title
President
Phone
(787) 863-1330

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Community/Retail Pharmacy 3336C0003X 14-F-3060 PR

Addresses

Primary practice location

G10 Calle Principal
Urb Baralt
Fajardo, PR 00738-3774

Mailing address

PO Box 887
Fajardo, PR 00738-0887
Phone (787) 863-1330

National Provider Directory

National Provider Directory

Locations

G10 Calle Principal
Fajardo, PR 00738
Phone (787) 863-1330

G10 Calle Principal
#1
Fajardo, PR 00738
Phone (787) 863-1330

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349913600000",
    "number": "1821031642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 887",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007380887",
            "telephone_number": "787-863-1330",
            "fax_number": "787-863-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G10 CALLE PRINCIPAL",
            "address_2": "URB BARALT",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007383774",
            "telephone_number": "787-863-1330",
            "fax_number": "787-863-1325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS MEDICAL EQUIPMENT AND PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2012-10-11",
        "status": "A",
        "authorized_official_last_name": "LACEN",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-863-1330",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "14-F-3060",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fajardo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.