Individual provider Active NPI

Elias Bou Prieto, M.D.

  • Cardiovascular Disease Physician
  • Guaynabo, PR
National Provider Identifier
1013110485
Registry record updated Jun 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
16484 Issued in PR
Practice address
59 Ave Esmeralda
Urb. Munoz Rivera
Guaynabo, PR 00969-4429
Phone
(787) 720-3234
Fax
(787) 272-9729
NPI assigned
Jun 6, 2007
Last updated
Jun 7, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 16484 PR
Cardiovascular Disease Physician 207RC0000X 16484 PR Primary

Addresses

Primary practice location

59 Ave Esmeralda
Urb. Munoz Rivera
Guaynabo, PR 00969-4429

Mailing address

La Villa de Torrimar
#136 Calle Reina Maria
Guaynabo, PR 00969-3170
Phone (787) 407-1433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120906000436 PR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6002063583 Reassigns benefits to 2 organizations
Practice locations: Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Puerto Rico School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

Carr 190
8 Sabana Abajo
Carolina, PR 00983-7401
Phone (787) 789-1996

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Las Americas Guaynabo, Inc CurrentSince Aug 1, 2012 Accepting new patients
Clinica Las Americas Guaynabo, Inc Current Accepting new patients
Clinica Las Americas Guaynabo, Inc CurrentSince Aug 1, 2012 Accepting new patients
Tanuis Health Services Corp PastSince May 3, 2012 Accepting new patients

Locations

1 Ave Casa Linda
Bayamon, PR 00959

1 Ave Casa Linda
Ste 101
Bayamon, PR 00959
Phone (787) 399-9092

Interoperability endpoints

  • Direct secure messaging: elias.bouprieto@4048.securemail.prognocis.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1013110485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LA VILLA DE TORRIMAR",
            "address_2": "#136 CALLE REINA MARIA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009693170",
            "telephone_number": "787-407-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 AVE ESMERALDA",
            "address_2": "URB. MUNOZ RIVERA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694429",
            "telephone_number": "787-720-3234",
            "fax_number": "787-272-9729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOU PRIETO",
        "first_name": "ELIAS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "16484",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "16484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.