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NPI Code Detail

MEDICARE: GENESIS GARAY GONZALEZ PHARMD

MEDICARE: GENESIS GARAY GONZALEZ PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist8491PR

General Provider Information

NPI Number : 1346108586
Entity Type Code : Individual
Provider Name (Legal Business Name) : GENESIS GARAY GONZALEZ PHARMD
Provider Business Mailing Address
First Line : RES ROBERTO CLEMENTE
Second Line :
City : CAROLINA
State : PR
Zip : 00987-7329
Country : US
Telephone Number : 787-257-8540
Fax Number :
Provider Business Practice Location Address
First Line : 35-27 CALLE 16
Second Line :
City : CAROLINA
State : PR
Zip : 00985-5440
Country : US
Telephone Number : 787-257-8540
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2026
Last Update Date : 01/15/2026

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