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Organization
FFV ID MED GROUP PSC
Active
Organization
FFV ID MED GROUP PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYRA VELEZ RIVERA (PRESIDENTE)
(787) 748-3818
Entity
Organization
Contact information
Practice address
300 BOULEVARD RAMALLO, SAN JUAN, PR 00936-6372
(787) 748-3818
Mailing address
300 BOULEVARD RAMALLO, CARR 1 OFF 213, SAN JUAN, PR 00936-6372
(787) 748-3818
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
NULL
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
08/02/2006
Last updated
08/22/2020
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