Organization Active NPI

Pre-Vue

  • Specialist
  • San Juan, PR
National Provider Identifier
1437577863
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PRE-VUE
Practice address
Calle Parana 1669
San Juan, PR 00926
Phone
(787) 931-7486
Fax
(800) 507-1075
NPI assigned
Apr 2, 2014
Last updated
Jan 30, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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

Authorized official

Name
Mr. Luis Angel Sepulveda Sr.
Title
President of Pre-Vue Corp
Phone
(939) 642-0775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

Calle Parana 1669
San Juan, PR 00926

Mailing address

HC 02 Box 8653
Yabucoa, PR 00767
Phone (939) 642-0775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140520002437 PR Part B Supplier - Clinic/Group Practice 8729201744 Receives reassigned benefits from 4 practitioners
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Locations

1669 Calle Parana
San Juan, PR 00926
Phone (787) 931-7486

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548806400000",
    "number": "1437577863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 02 BOX 8653",
            "city": "YABUCOA",
            "state": "PR",
            "postal_code": "00767",
            "telephone_number": "939-642-0775",
            "fax_number": "180-050-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE PARANA 1669",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-931-7486",
            "fax_number": "800-507-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRE-VUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-02",
        "last_updated": "2019-01-30",
        "status": "A",
        "authorized_official_last_name": "SEPULVEDA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "ANGEL",
        "authorized_official_title_or_position": "PRESIDENT OF PRE-VUE CORP",
        "authorized_official_telephone_number": "939-642-0775",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.