Dr Jose a Nassar & Asociados
Organization Active NPI Radiology Clinic/Center · Humacao, PR
NPI 1124022744 · NPPES record last updated Aug 16, 2022
Key facts
- NPI
- 1124022744
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Radiology Clinic/Center 261QR0200X
- Legal business name
- DR JOSE A NASSAR & ASOCIADOS
- Practice address
- 63 Cruz Ortiz Stella Ave.
Humacao, PR 00791 - Phone
- (787) 852-0920
- Fax
- (787) 852-6685
- NPI assigned
- Jun 10, 2005
- Organization subpart
- No
Authorized official
- Name
- Carlos J Nassar, MD
- Title
- Senior-Partner
- Phone
- (787) 852-0920
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 3
Practitioners 13
-
Alejandro Lopez Araujo, M.D.
-
Jose Raul Nassar, MD
-
Alberto Mansilla, M.D.
-
Ricardo Vallejo Rivera, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071219000428 | PR | Part B Supplier - Clinic/Group Practice | 0143310789 |
Receives reassigned benefits from 11 practitioners 1 other NPI on this enrollment Practice locations: Humacao, PR; Yabucoa, PR; Maunabo, PR; Las Piedras, PR; Juncos, PR; Catano, PR; Carolina, PR; Aguadilla, PR |
National Provider Directory
- Tax ID family
- Dr Jose a Nassar Asociados
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician |
2085B0100X | |||
| Diagnostic Ultrasound Physician |
2085U0001X | |||
| Radiology Clinic/Center | 261QR0200X | PR | Yes | |
| Mammography Clinic/Center | 261QR0206X |
Addresses
Primary practice location
63 Cruz Ortiz Stella Ave.
Humacao, PR 00791
Mailing address
PO Box 9132
Humacao, PR 00792-9132
Phone (787) 852-0920
Other providers in Humacao, PR
- Victor Antonio Dominguez-Cay
- Lisandra M Dominguez I
- Wistremundo Dones Figueroa
- Maria Del Carmen Dones
- Rolando Dones
- Dr Jose a Nassar & Asociados
- Dr. David E. Kerr P S C
- Dr. Jose a. Nassar & Asociados
- Dra Amalys Montanez Leduc
- Dra. Karina Quinones Lebron, PSC
All providers in Humacao, PR · Radiology Clinic/Center in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.