Healthcare Provider Details

I. General information

NPI: 1689508772
Provider Name (Legal Business Name): RKVC INTERNAL MEDICINE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

O12 AVE LUIS MUNOZ MARIN
CAGUAS PR
00725-6162
US

IV. Provider business mailing address

O12 AVE LUIS MUNOZ MARIN
CAGUAS PR
00725-6162
US

V. Phone/Fax

Practice location:
  • Phone: 787-704-2032
  • Fax: 787-704-2032
Mailing address:
  • Phone: 787-704-2032
  • Fax: 787-704-2032

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBERTO KARLO VELAZQUEZ-CORREA
Title or Position: PRESIDENT
Credential:
Phone: 787-704-2032