Juan Antonio Nazario, MD

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

7764 Issued in PR

Practice address

Ponce VA Outpatient Clinic
1010 Paseo del Veterano
Ponce, PR 00716

Phone

(787) 812-3030

Fax

(787) 651-4321

NPI assigned

Jun 15, 2006

Sex

Male

Sole proprietor

No

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1265476980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 CALLE GAVIOTA",
            "address_2": "URB. CAMINO DEL SUR",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007162840",
            "telephone_number": "787-812-3030",
            "fax_number": "787-651-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PONCE VA OUTPATIENT CLINIC",
            "address_2": "1010 PASEO DEL VETERANO",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-812-3030",
            "fax_number": "787-651-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZARIO",
        "first_name": "JUAN",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "PR",
            "license": "7764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose E Nazario Lugo, MD
• Glenn Marie Nazario Melendez
• Christian Ismael Nazario Padilla, PHARMD
• Ana Marina Nazario Partida, MD
• Nelly Nazario-Torres, MD
• Neixa L Nazario, M.D.
• Yerika Mary Nazario
• Lance Needham, M.D.
• Nefrocaribe LLC
• Nefrosur CSP

• Geriatric Medicine (Family Medicine) Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• Geriatric Medicine (Family Medicine) Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.