# FFV ID MED GROUP PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861409898
- **Authorized official:** MAYRA VELEZ RIVERA (PRESIDENTE)
- **Authorized official phone:** (787) 748-3818

## Contact information

- **Practice address:** 300 BOULEVARD RAMALLO, SAN JUAN, PR 00936-6372
- **Practice address phone:** (787) 748-3818
- **Mailing address:** 300 BOULEVARD RAMALLO, CARR 1 OFF 213, SAN JUAN, PR 00936-6372
- **Mailing address phone:** (787) 748-3818

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | — | NULL | Yes |
| 207RI0200X | Infectious Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/02/2006
- **Last updated:** 08/22/2020