Xanogene LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

XANOGENE LLC

Practice address

300 Ave Felisa Rincon
Las Vistas Shopping Village
San Juan, PR 00926-6088

Phone

(787) 761-5880

NPI assigned

Nov 23, 2011

Organization subpart

No

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

Authorized official

Name

Prof. Jorge B Vazquez

Title

Manager

Phone

(787) 761-5880

Specialties & licenses 1

Addresses

Other names 1

• XanoGene, Anti Aging, Genomic & Holistic Clinic Other name

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

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322006400000",
    "number": "1922375674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 FELISA RINCON",
            "address_2": "LAS VISTAS SHOPPING VILLAGE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-761-5880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 AVE FELISA RINCON",
            "address_2": "LAS VISTAS SHOPPING VILLAGE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266088",
            "telephone_number": "787-761-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XANOGENE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-23",
        "last_updated": "2011-11-23",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "787-761-5880",
        "authorized_official_name_prefix": "Prof."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "XanoGene, Anti Aging, Genomic & Holistic Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• General Practice Physician in San Juan, PR
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; 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.