Jose Agustin Nassar, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

2993 Issued in PR

Practice address

63 Cruz Ortiz Stella Ave.
Humacao, PR 00791

Phone

(787) 852-0920

Fax

(787) 852-6685

NPI assigned

Jun 10, 2005

Last updated

Jul 28, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr Jose a Nassar & Asociados

  • Radiology Clinic/Center
  • Humacao, PR
  • NPI 1124022744

  Diagnostic Radiology

  Medicare reassignment NPD
• Centro Radiologico de Humacao, Inc.

  • Radiology Clinic/Center
  • Humacao, PR
  • NPI 1538486998
  Authorized official Same address or phone
• Centro Radiologico de Yabucoa, Inc.

  • Radiology Clinic/Center
  • Yabucoa, PR
  • NPI 1902123193
  Authorized official Same address or phone
• Dr Jose a Nassar & Asociados

  • Diagnostic Radiology Physician
  • Humacao, PR
  • NPI 1265610919
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1417951013",
    "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",
            "telephone_number": "787-852-0920",
            "fax_number": "787-852-6685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 CRUZ ORTIZ STELLA AVE.",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-852-0920",
            "fax_number": "787-852-6685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSAR",
        "first_name": "JOSE",
        "middle_name": "AGUSTIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "2993",
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "PR",
            "license": "2993",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jossie Munoz, MD
• Willie Munoz, MD
• MV Orthodontics PSC
• Myriam Z Allende Vigo PSC
• Carlos Jose Nassar, MD
• Jose Raul Nassar, MD
• Enery Navarrete, M.D.
• Yamilka Navarro Figueroa, MD
• Juan Gabriel Navarro Lopez, LIC.
• Hector Joel Navedo Aldanondo, PA

• Diagnostic Radiology Physician in Humacao, PR
• Providers in Humacao, PR by specialty
• Diagnostic Radiology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.