Healthcare Provider Details

I. General information

NPI: 1902741861
Provider Name (Legal Business Name): BIV LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 CALLE DR HERNAN CORTES UNIT 151021
TOA BAJA PR
00950-5001
US

IV. Provider business mailing address

URB PALMAS DEL TURABO CALLE TENERIFE 45
CAGUAS PR
00927-0001
US

V. Phone/Fax

Practice location:
  • Phone: 787-460-0706
  • Fax:
Mailing address:
  • Phone: 787-460-0706
  • 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: BLANCA VILLAFANE MARTINEZ
Title or Position: MD
Credential: MD
Phone: 787-460-0706