Provider Demographics
NPI:1356138184
Name:MARTINEZ OSORIO, GENESYS SHARLYN (MD)
Entity type:Individual
Prefix:
First Name:GENESYS
Middle Name:SHARLYN
Last Name:MARTINEZ OSORIO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2248 PASEO AMAPOLA
Mailing Address - Street 2:LEVITTOWN
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00949-4311
Mailing Address - Country:US
Mailing Address - Phone:787-674-8923
Mailing Address - Fax:
Practice Address - Street 1:2248 PASEO AMAPOLA
Practice Address - Street 2:
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00949-4311
Practice Address - Country:US
Practice Address - Phone:787-674-8923
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-23
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR24379208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice