Individual provider · NPI-1
Elias Bou Prieto, M.D.
Internal Medicine, Cardiovascular Disease · Guaynabo, PR
NPI number1013110485
StatusActive
Last updated in NPPESJun 7, 2019
Details
- NPI
- 1013110485
- Entity type
- Individual (NPI-1)
- Name
- Elias Bou Prieto
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 6, 2007
- Last updated
- Jun 7, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | 16484 | PR | Yes |
| 207R00000X | Internal Medicine | 16484 | PR |
Practice location
59 Ave EsmeraldaUrb. Munoz Rivera
Guaynabo, PR 00969-4429
Phone 787-720-3234 · Fax 787-272-9729
Mailing address
La Villa De Torrimar#136 Calle Reina Maria
Guaynabo, PR 00969-3170
Phone 787-407-1433
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