Individual provider Active NPI

Ana C Moreira Bou, DC

  • Chiropractor
  • San Juan, PR
National Provider Identifier
1093298606
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
662 Issued in PR
Practice address
Urb. Santiago Iglesias 1404 Ave. Paz Granela
San Juan, PR 00921
Phone
(787) 985-0665
NPI assigned
Sep 10, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 662 PR Primary

Addresses

Primary practice location

Urb. Santiago Iglesias 1404 Ave. Paz Granela
San Juan, PR 00921

Mailing address

Urb. Santiago Iglesias 1404 Ave. Paz Granela
San Juan, PR 00921
Phone (787) 985-0665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
662PRMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Boriq LLC Chiropractor CurrentSince Mar 16, 2020 Accepting new patients
Centro Quiropractico del Parque CSP Chiropractor PastSince Feb 1, 2025 Accepting new patients
Carlos Selles Hernandez Centro Quriropractico del Parque Chiropractor Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1093298606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. SANTIAGO IGLESIAS 1404 AVE. PAZ GRANELA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-985-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. SANTIAGO IGLESIAS 1404 AVE. PAZ GRANELA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-985-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOREIRA BOU",
        "first_name": "ANA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "662",
            "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 Feb 17, 2020; 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.