Individual provider Active NPI

Maria Guzman-Bou, MS, CCC-SLP

  • Speech-Language Pathologist
  • San Juan, PR
National Provider Identifier
1780047571
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1048 Issued in PR
Practice address
340 Felisa Rincon de Gautier Ave 2214
Paseo del Bosque
San Juan, PR 00926-6639
Phone
(787) 306-2777
NPI assigned
Mar 30, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1048 PR Primary

Addresses

Primary practice location

340 Felisa Rincon de Gautier Ave 2214
Paseo del Bosque
San Juan, PR 00926-6639

Mailing address

340 Felisa Rincon de Gautier Ave 2214
Paseo del Bosque
San Juan, PR 00926-6639
Phone (787) 306-2777

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1048PRMDClinical Medical Laboratory

Practice roles

OrganizationSpecialtyStatusNew patients
Well&Lean LLC PastSince Dec 18, 2016 Accepting new patients

Organizations & group practices 1

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": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1780047571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 FELISA RINCON DE GAUTIER AVE 2214",
            "address_2": "PASEO DEL BOSQUE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266639",
            "telephone_number": "787-306-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 FELISA RINCON DE GAUTIER AVE 2214",
            "address_2": "PASEO DEL BOSQUE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266639",
            "telephone_number": "787-306-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN-BOU",
        "first_name": "MARIA",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-30",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "1048",
            "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 Mar 30, 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.