Provider Demographics
NPI:1437577863
Name:PRE-VUE
Entity Type:Organization
Organization Name:PRE-VUE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OF PRE-VUE CORP
Authorized Official - Prefix:MR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:ANGEL
Authorized Official - Last Name:SEPULVEDA
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:939-642-0775
Mailing Address - Street 1:HC 02 BOX 8653
Mailing Address - Street 2:
Mailing Address - City:YABUCOA
Mailing Address - State:PR
Mailing Address - Zip Code:00767
Mailing Address - Country:US
Mailing Address - Phone:939-642-0775
Mailing Address - Fax:180-050-7107
Practice Address - Street 1:CALLE PARANA 1669
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-931-7486
Practice Address - Fax:800-507-1075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-02
Last Update Date:2019-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty