Carlos J Bourdony-Baez, MD

Primary specialty

Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X

License

4120 Issued in PR

Practice address

258 Calle San Jorge Suite 205
San Jorge Children Hospital Tower
San Juan, PR 00909-1900

Phone

(787) 433-7334

Fax

(787) 727-6550

NPI assigned

Sep 13, 2005

Sex

Male

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)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454889600000",
    "number": "1245225614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11021",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009102121",
            "telephone_number": "787-433-7334",
            "fax_number": "787-727-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 CALLE SAN JORGE SUITE 205",
            "address_2": "SAN JORGE CHILDREN HOSPITAL TOWER",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009091900",
            "telephone_number": "787-433-7334",
            "fax_number": "787-727-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURDONY-BAEZ",
        "first_name": "CARLOS",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2016-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "PR",
            "license": "4120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos R Bou, M.D.
• Rafael Bouet Blasini, M.D.
• Kary Michelle Bouet-Rivera, M.D.
• Vassilios Boulougouris, O.D
• Joany Bourdon, M.D.
• Robert J Bowles, M.D.
• BP Pharmacy LLC
• BQG Corp
• Nabal Jose Bracero, M.D.
• Brain & Vision

• Pediatric Endocrinology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Pediatric Endocrinology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; 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.