Centro Radiologico de Humacao, Inc.

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

2993 Issued in PR

Legal business name

CENTRO RADIOLOGICO DE HUMACAO, INC.

Practice address

63 Calle Cruz Ortiz Stella S
Humacao, PR 00791-4180

Phone

(787) 852-0920

Fax

(787) 285-4468

NPI assigned

Apr 26, 2010

Organization subpart

Yes

Parent organization

JOSE A. NASSAR & ASOCIADOSAs reported in NPPES

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

Authorized official

Name

Dr. Jose A Nassar, MD

Title

President

Phone

(787) 852-0920

Specialties & licenses 3

Addresses

Other identifiers 2

Part of

Dr Jose a Nassar Asociados

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272240000000",
    "number": "1538486998",
    "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": "787-285-4468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 CALLE CRUZ ORTIZ STELLA S",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007914180",
            "telephone_number": "787-852-0920",
            "fax_number": "787-285-4468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO RADIOLOGICO DE HUMACAO, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOSE A. NASSAR & ASOCIADOS",
        "enumeration_date": "2010-04-26",
        "last_updated": "2010-04-26",
        "status": "A",
        "authorized_official_last_name": "NASSAR",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-852-0920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "PR",
            "license": "12672",
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "PR",
            "license": "2993",
            "primary": true
        },
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "PR",
            "license": "2993",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "87887",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-HOSP",
            "identifier": "87836",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Janice Cintron Perez, DMD
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• Radiology Clinic/Center in Humacao, PR
• Providers in Humacao, PR by specialty
• Radiology Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; 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.