XANOGENE LLC NPI 1922375674

NPI Information

  • NPI: 1922375674
  • Provider Name: XANOGENE LLC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Other Name: XANOGENE, ANTI AGING, GENOMIC & HOLISTIC CLINIC
  • Address: 300 AVE FELISA RINCON
    LAS VISTAS SHOPPING VILLAGE
    SAN JUAN, PR
    ZIP 00926
  • Phone: (787) 761-5880

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NPI Details

XANOGENE LLC is a general practice in San Juan, PR. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee XANOGENE LLC NPI is 1922375674. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Xanogene, Anti Aging, Genomic & Holistic Clinic.

The provider's business location address is:

300 AVE FELISA RINCON
LAS VISTAS SHOPPING VILLAGE
SAN JUAN, PR
ZIP 00926-088
Phone: (787) 761-5880

The provider's authorized official is Jorge B Vazquez .
The authorized official title is Manager and has the following contact phone number (787) 761-5880.

The enumeration date for this NPI number is 11/23/2011 and was last updated on 11/23/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

What is NPI?

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This page was last updated on: 11/21/2025

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