RV Medical PSC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

6182 Issued in PR

Legal business name

RV MEDICAL PSC

Practice address

Carr 3 KM 85.5
Bo Candelero Arriba Oficina 2 Edificio Plaza del Mar
Humacao, PR 00792

Phone

(787) 850-6654

Fax

(787) 719-4677

NPI assigned

Jan 28, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Roberto Velez de Jesus, M.D.NPI 1093799199

Title

Doctor

Phone

(787) 850-6654

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roberto Velez de Jesus, MD

  • General Practice Physician
  • Humacao, PR
  • NPI 1093799199
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453939200000",
    "number": "1851758361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 4 BOX 19741",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007788840",
            "telephone_number": "787-850-6654",
            "fax_number": "787-719-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 3 KM 85.5",
            "address_2": "BO CANDELERO ARRIBA OFICINA 2 EDIFICIO PLAZA DEL MAR",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00792",
            "telephone_number": "787-850-6654",
            "fax_number": "787-719-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RV MEDICAL PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-28",
        "last_updated": "2016-01-28",
        "status": "A",
        "authorized_official_last_name": "VELEZ DE JESUS",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "787-850-6654",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "PR",
            "license": "6182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolanda Rosario, LPN
• Christian Rossello Benitez
• Marinelis Ruiz, MS-SLP
• Neishma Rassel Ruiz, PSYD.
• Orlando Ruiz, RN, EMT-P
• Ryder Memorial Hospital Inc
• Ryder Memorial Hospital Inc (Grupo Anestesia Ryder)
• Ryder Memorial Hospital Inc
• Ryder Memorial Hospital Inc (Farmacia Ryder Meml Hosp)
• Ryder Memorial Hospital Inc (Ryder Memorial Homecare Program)

• Health Service Clinic/Center in Humacao, PR
• Providers in Humacao, PR by specialty
• Health Service Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.