Organization · Type 2 NPI

Genetic Diagnostic Group

Clinical Genetics (M.D.) Physician · Santurce, PR

NPI number 1063541019 Active

Practice location

252 San Jorge Street, San Jorge Medical Building Suite 408
Santurce, PR 00912-0000

Fax (787) 728-8316

Mailing address

PO Box 87
Mayaguez, PR 00681-0087

Specialties and licenses

TaxonomyCodeLicense
Clinical Genetics (M.D.) Physician Primary 207SG0201XNone listed

Clinical Genetics (M.D.) Physician: A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.

2 other providers at this address

About NPI 1063541019

Genetic Diagnostic Group's National Provider Identifier is 1063541019, issued on Mar 5, 2007. The primary taxonomy on file is Clinical Genetics (M.D.) Physician (207SG0201X), and the practice location is in Santurce, PR. The record was last updated on Aug 22, 2020.