| NPI | 1083676480 |
|---|---|
| Other Name | GENESIS |
| Entity Type | Organization |
| Authorized Contact | BRENDA LEE VELAZQUEZ PEREZ Administrator 787-285-2415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2008-12-09 |