Healthcare Provider Details

I. General information

NPI: 1821993031
Provider Name (Legal Business Name): AMV MEDICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 CALLE RAFAEL ARROYO RIOS S
HUMACAO PR
00791-3932
US

IV. Provider business mailing address

134 FRINGE DR
HUMACAO PR
00791-6026
US

V. Phone/Fax

Practice location:
  • Phone: 787-518-0104
  • Fax:
Mailing address:
  • Phone: 787-361-7101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. VICENTE V NAZARIO LARACUENTE
Title or Position: PRESIDENT
Credential: MD
Phone: 787-361-7101