Healthcare Provider Details

I. General information

NPI: 1962359992
Provider Name (Legal Business Name): RV MEDICAL MANAGEMENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 173 KM 6.5 BO. RABANAL
CIDRA PR
00739-3512
US

IV. Provider business mailing address

PO BOX 371352
CAYEY PR
00737-1352
US

V. Phone/Fax

Practice location:
  • Phone: 619-354-0553
  • Fax:
Mailing address:
  • Phone: 619-354-0553
  • 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: DR. ROBBY JOEL VELEZ
Title or Position: MANAGING MEMBER
Credential: MD
Phone: 619-354-0553