Amador Garcia Nazareno, M.D.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ME 46522 Issued in FL

Practice address

2258 Pocosin CT
Jacksonville, FL 32246-4193

Phone

(904) 221-2042

NPI assigned

May 19, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• None None None Other name

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": "1400457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400457600000",
    "number": "1629489141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2258 POCOSIN CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322464193",
            "telephone_number": "904-221-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2258 POCOSIN CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322464193",
            "telephone_number": "904-221-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZARENO",
        "first_name": "AMADOR",
        "middle_name": "GARCIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-19",
        "last_updated": "2014-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME 46522",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME 46522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NONE",
            "last_name": "NONE",
            "middle_name": "NONE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Irfan Nawaz, MD
• Nanjiba Nawaz, MD
• Richard E Nay, PHD
• Ankur Nayak
• Manav Nayeni
• Mark Nazareno, PHARM.D.
• Ranze Nazareno, PHARM.D.
• Alla Alexandrovna Nazarova
• Sharon Powell Nazemi, AUD
• Rabeya Nazer

• Primary Care Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; 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.