NPIMap

Dr Jose a Nassar & Asociados

Organization Active NPI Diagnostic Radiology Physician · Humacao, PR

NPI 1265610919 · NPPES record last updated Aug 16, 2022

Key facts

NPI
1265610919
Entity type
Organization (NPI type 2)
Primary specialty
Diagnostic Radiology Physician 2085R0202X
Legal business name
DR JOSE A NASSAR & ASOCIADOS
Practice address
355 Calle Font Martelo
Humacao, PR 00791-3249
Phone
(787) 852-0768
NPI assigned
Feb 5, 2008
Organization subpart
No

Authorized official

Name
Carlos J Nassar, MD NPI 1922002559
Title
Senior-Partner
Phone
(787) 852-0920

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PR

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20071219000428 PR Part B Supplier - Clinic/Group Practice 0143310789 Receives reassigned benefits from 11 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the 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 (4 organizations share this tax ID)

Locations

126 Ave Las Nereidas
Catano, PR 00962
Phone (787) 788-0448

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2085B0100X
Diagnostic Radiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2085R0202X Yes
Diagnostic Ultrasound Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2085U0001X
Mammography Clinic/Center 261QR0206X

Addresses

Primary practice location

355 Calle Font Martelo
Humacao, PR 00791-3249

Mailing address

PO Box 9132
Humacao, PR 00792-9132

Other practice location 1

300 Calle Font Martelo
Humacao, PR 00791-3230
Phone (787) 852-3030

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 16, 2022.

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660608000000",
    "number": "1265610919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9132",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007929132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 CALLE FONT MARTELO",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007913249",
            "telephone_number": "787-852-0768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Calle Font Martelo",
            "address_purpose": "LOCATION",
            "city": "Humacao",
            "state": "PR",
            "postal_code": "007913230",
            "country_code": "US",
            "telephone_number": "787-852-3030",
            "fax_number": "787-850-2880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR JOSE A NASSAR & ASOCIADOS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "NASSAR",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SENIOR-PARTNER",
        "authorized_official_telephone_number": "787-852-0920",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

All providers in Humacao, PR · Diagnostic Radiology Physician in Puerto Rico

Sources for this page

Verify at the official NPI Registry.