Wanda L Rivera Bou, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

12963 Issued in PR

Practice address

Carr #3 K.M. 8.3 Ave. 65 Infanteria
Hospital Upr
Carolina, PR 00914

Phone

(787) 757-1800

Fax

(787) 750-0930

NPI assigned

Feb 24, 2006

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Recinto de Ciencias Medicas

  • Emergency Medicine Physician
  • Carolina, PR
  • NPI 1841354602
  Medicare reassignment NPD
• Recinto de Ciencias Medicas

  dba Cirugia Colorrectal RCM

  • Colon & Rectal Surgery Physician
  • San Juan, PR
  • NPI 1538935051
  NPD

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404777600000",
    "number": "1215903745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 596",
            "city": "LUQUILLO",
            "state": "PR",
            "postal_code": "007730596",
            "telephone_number": "787-487-2169",
            "fax_number": "787-487-2169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR #3 K.M. 8.3 AVE. 65 INFANTERIA",
            "address_2": "HOSPITAL UPR",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00914",
            "telephone_number": "787-757-1800",
            "fax_number": "787-750-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA BOU",
        "first_name": "WANDA",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-24",
        "last_updated": "2014-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PR",
            "license": "12963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel Rivera - Castro, M.D.
• Luis Ramon Rivera Allende
• Coralie Rivera Aponte, DMD
• Jose M Rivera Arroyo Sr., MD
• Paola Sofia Rivera Bernaola, MD, MPH
• Pedro Antonio Rivera Caballero, M.D.
• Jonathan D Rivera Colon, DC
• Paola Krystal Rivera Colon
• Gustavo Rivera Cruz, MD
• Maria Cristina Rivera Cruz

• Emergency Medicine Physician in Carolina, PR
• Providers in Carolina, PR by specialty
• Emergency Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.