=====================================================
General NPI Number Information
=====================================================
NPI Number | 1013849967
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BBMV LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/02/2026
-----------------------------------------------------
Last Update Date | 06/02/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 386 CALLE 51 VILLAS DE CARRAIZO
-----------------------------------------------------
City | SAN JUAN
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00926-9162
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-615-1861
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 386 CALLE 51 VILLAS DE CARRAIZO
-----------------------------------------------------
City | SAN JUAN
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00926-9162
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-615-1861
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENTE, SECRETARIO, TESORERO
-----------------------------------------------------
Name | DR. CESAR OMAR MONSALVE RIZO
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 787-615-1861
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208D00000X
-----------------------------------------------------
Taxonomy Name | General Practice Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------