Provider Demographics
NPI:1831318674
Name:PREDS, CORP
Entity Type:Organization
Organization Name:PREDS, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:R
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD MHSA
Authorized Official - Phone:787-876-2245
Mailing Address - Street 1:ESTANCIAS DE SAN FERNANDO
Mailing Address - Street 2:STREET #4 B-17
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00985
Mailing Address - Country:US
Mailing Address - Phone:787-876-2245
Mailing Address - Fax:
Practice Address - Street 1:159 CALLE 14 DE JULIO
Practice Address - Street 2:CDT LUQUILLO
Practice Address - City:LUQUILLO
Practice Address - State:PR
Practice Address - Zip Code:00773-2245
Practice Address - Country:US
Practice Address - Phone:787-889-8800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2008-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty