Healthcare Provider Details

I. General information

NPI: 1245152537
Provider Name (Legal Business Name): XRV LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE J #9 EXTENSION HERMANAS DAVILA
BAYAMON PR
00959-6057
US

IV. Provider business mailing address

75 PLAZA 8 URB GRANVISTA 2
GURABO PR
00778-5057
US

V. Phone/Fax

Practice location:
  • Phone: 787-854-3322
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: XIOMARA RESTO
Title or Position: PRESIDENT
Credential: MD
Phone: 787-999-9999