Doctor Name: | DR. MAXUEL E. GENAO ENCARNACION |
NPI Number: | 1366438434 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 11201 |
Business Practice Address: | Za1 Calle 36 Urb. Riverview Bayamon, PR - 009613929 |
Business Phone Number: | 7877852694 |
Business Fax Number: | 7877873109 |
Mailing Address: | Po Box 50027, TOA BAJA |
State: | PR |
Postal Code: | 009500027 |
Phone Number: | 7877852694 |
Fax Number: | 7877873109 |
NPI Enumeration Date: | 09/23/2005 |
NPI Last Update Date: | 04/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 11201 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |