GENESIS ANESTHESIA SERVICES, PSC

Provider Demographics

• NPI: 1821078882
• Name: GENESIS ANESTHESIA SERVICES, PSC
• Entity Type: Organization
• Organization Name: GENESIS ANESTHESIA SERVICES, PSC
• Authorized Official - Title/Position: ADMINISTRATOR
• Authorized Official - First Name: ROBERTO
• Authorized Official - Last Name: BAYRON-VELEZ
• Authorized Official - Credentials: MD
• Authorized Official - Phone: 787-805-1818
• Mailing Address - Street 1: PO BOX 6450
• Mailing Address - City: MAYAGUEZ
• Mailing Address - State: PR
• Mailing Address - Zip Code: 00681-6450
• Mailing Address - Country: US
• Mailing Address - Phone: 787-805-1818
• Mailing Address - Fax: 787-832-1585
• Practice Address - Street 1: HOSPITAL BELLA VISTA CARR 349 KM 2.7 CERRO LAS MESAS
• Practice Address - City: MAYAGUEZ
• Practice Address - State: PR
• Practice Address - Zip Code: 00680
• Practice Address - Country: US
• Practice Address - Phone: 787-805-1818
• Practice Address - Fax: 787-832-1585
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2006-01-18
• Last Update Date: 2020-07-01

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	207L00000X	Allopathic & Osteopathic Physicians	Anesthesiology		Group - Single Specialty

Provider Identifiers

State	Identifier ID	ID Type	Issuer
	9242	Other	FIRST MEDICAL
	=========	Other	HARVARD PILGRIM HEALTH CA
	=========	Other	ADVENTISTS RISK MANAGEMEN
	=========	Other	HUMANA GOLD CLASSIC
	32516	Other	ASPCIACION DE MAESTROS DE
	=========	Other	CHAMPUS/CHAMPVA
	=========	Other	AETNA INSURANCE
	=========	Other	CIGNA HEALTH CARE
	1696	Other	AMERICAN HEALTH INSURANCE
	61101	Other	HUMANA GOLD CHOICE
	6810035	Other	HUMANA INSURANCE OF PR
	6810035	Other	HUMANA HEALTH OF PUERTO R
	=========	Other	AARP
	=========	Other	BLUE CROSS BLUE SHIELD
	=========	Other	FIRST PLUS
	=========	Other	GHI
	=========	Other	COSVI
	=========	Other	CARE PLUS
	=========	Other	AIG CLAIN SERVICES INC
	=========	Other	BLUE CROSS BLUE SHIELD