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General NPI Number Information
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NPI Number | 1821078882
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Entity Type | Organization
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Legal Business Name | GENESIS ANESTHESIA SERVICES, PSC
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Dates
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Enumeration Date | 01/18/2006
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Last Update Date | 07/01/2020
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Provider Practice Location Address
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Address Line | HOSPITAL BELLA VISTA CARR 349 KM 2.7 CERRO LAS MESAS
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City | MAYAGUEZ
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State | PR
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Zip | 00680
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Country | US
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Telephone | 787-805-1818
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Fax | 787-832-1585
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Provider Business Mailing Address
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Address Line | PO BOX 6450
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City | MAYAGUEZ
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State | PR
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Zip | 00681-6450
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Country | US
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Telephone | 787-805-1818
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Fax | 787-832-1585
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ROBERTO BAYRON-VELEZ
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Credential | MD
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Telephone | 787-805-1818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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