Carmen Ines Bou, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

15355 Issued in PR

Practice address

355 Font Martello Ave
Humacao, PR 00792

Phone

(787) 852-0768

NPI assigned

Dec 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013078138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 VEREDAS DE LAS AMAPOLAS",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007789692",
            "telephone_number": "787-469-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 FONT MARTELLO AVE",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00792",
            "telephone_number": "787-852-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOU",
        "first_name": "CARMEN",
        "middle_name": "INES",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "15355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bio-Medical Applications of Humacao, Inc. (Bma Humacao)
• Ricardo Birriel Vega, MD
• Hilvia Elena Blanco
• Liz Arkadia Bonilla Leon, MHS
• Gretchen Marie Borges Leon, ND
• Bright Retina Practice PR LLC
• Bolivar Burgos
• Cybel Burgos, DO
• Elizabeth Beltran Burgos, MSW
• Jose A Burgos

• Specialist in Humacao, PR
• Providers in Humacao, PR by specialty
• Specialist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.