Healthcare Provider Details

I. General information

NPI: 1013849967
Provider Name (Legal Business Name): BBMV LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

386 CALLE 51 VILLAS DE CARRAIZO
SAN JUAN PR
00926-9162
US

IV. Provider business mailing address

386 CALLE 51 VILLAS DE CARRAIZO
SAN JUAN PR
00926-9162
US

V. Phone/Fax

Practice location:
  • Phone: 787-615-1861
  • Fax:
Mailing address:
  • Phone: 787-615-1861
  • 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. CESAR OMAR MONSALVE RIZO
Title or Position: PRESIDENTE, SECRETARIO, TESORERO
Credential: MD
Phone: 787-615-1861