Individual provider Active NPI

Javier Andres Nazario Larrieu, M.D.

  • Vascular & Interventional Radiology Physician
  • Bayamon, PR
National Provider Identifier
1427196385
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
17752 Issued in PR
Practice address
Edif Arturo Cadilla 403
Paseo San Pablo
Bayamon, PR 00961
Phone
(787) 308-0449
NPI assigned
Feb 2, 2007
Last updated
Jun 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 17752 PR
Diagnostic Radiology Physician 2085R0202X M5850 TX
Vascular & Interventional Radiology Physician 2085R0204X M5850 TX
Vascular & Interventional Radiology Physician 2085R0204X 17752 PR Primary

Addresses

Primary practice location

Edif Arturo Cadilla 403
Paseo San Pablo
Bayamon, PR 00961

Mailing address

PO Box 270236
San Juan, PR 00928-3036
Phone (787) 308-0449

Other practice location 1

Edif Arturo Cadilla 101
Paseo San Pablo
Bayamon, PR 00961
Phone (787) 269-2442

Other names 1

  • Javier Andres Nazario-Larrieu Other name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101111000608 PR Practitioner - Interventional RadiologyPractitioner - Interventional Pain ManagementPractitioner - Diagnostic Radiology 2668667098 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Harvard Medical School, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

PR 21 Int PR
18 Bo. Monacillos Urbano
San Juan, PR 00927
Phone 78777283005302

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M5850TXMDVascular & Interventional Radiology Physician
17752PRMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
NL Radiology Associates, LLC Diagnostic Radiology CurrentSince Jul 30, 2017 Accepting new patients
Centro de Cancer de la Universidad Diagnostic Radiology CurrentSince Jun 1, 2021 Accepting new patients
San Pablo Developers, Inc Diagnostic Radiology CurrentSince Mar 13, 2021 Accepting new patients
San Pablo Developers Inc Vascular & Interventional Radiology CurrentSince Mar 13, 2021 Accepting new patients

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1427196385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270236",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009283036",
            "telephone_number": "787-308-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIF ARTURO CADILLA 403",
            "address_2": "PASEO SAN PABLO",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-308-0449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "EDIF ARTURO CADILLA 101",
            "address_2": "PASEO SAN PABLO",
            "address_purpose": "LOCATION",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "country_code": "US",
            "telephone_number": "787-269-2442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAZARIO LARRIEU",
        "first_name": "JAVIER",
        "middle_name": "ANDRES",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "17752",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "M5850",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TX",
            "license": "M5850",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "PR",
            "license": "17752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAVIER",
            "last_name": "NAZARIO-LARRIEU",
            "middle_name": "ANDRES",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.