Individual provider Active NPI

Jose Raul Nassar, MD

  • Diagnostic Radiology Physician
  • Humacao, PR
National Provider Identifier
1689678229
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
12947 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

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 12947 PR
Diagnostic Radiology Physician 2085R0202X 12947 PR Primary
Diagnostic Ultrasound Physician 2085U0001X 12947 PR

Addresses

Primary practice location

63 Cruz Ortiz Stella Ave.
Humacao, PR 00791

Mailing address

PO Box 9132
Humacao, PR 00792-9132
Phone (787) 852-0920

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
I20070919000174 PR Practitioner - Diagnostic Radiology 3476647652 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Puerto Rico School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Jose a Nassar and AsociadosGroup PAC ID 0143310789, 6 clinicians
Centro Radiologico Shalom IncGroup PAC ID 0042591224, 2 clinicians

Practice addresses (Care Compare)

63 Calle Cruz Ortiz Stella S
Humacao, PR 00791-3334
Phone (787) 852-0665

Calle Jose Mendez Cardona
San Sebastian, PR 00685-0486
Phone (787) 896-1850

Calle Jose Mendez Cardona No
3 2ND Floor Suite 206
San Sebastian, PR 00685-0486
Phone (787) 896-1850

Carr 2 KM 101
Calle Marginal del Parque
Quebradillas, PR 00678-0903
Phone (939) 225-7867

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12947PRMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Diagnostico Y Tratamiento de San Sebastian Inc Diagnostic Radiology CurrentSince Dec 12, 2017 Accepting new patients
Dr Jose a Nassar & Asociados Diagnostic Radiology CurrentSince Nov 17, 2002 Accepting new patients
Mennonite General Hospital Inc. CurrentSince Aug 7, 2021 Accepting new patients
Centro de Diagnostico Y Tratamiento de San Sebastian Inc Current Accepting new patients
Hospital Menonita de Cayey Diagnostic Radiology CurrentSince Mar 1, 2020 Accepting new patients
Dr Jose a Nassar & Asociados Diagnostic Radiology CurrentSince Jul 1, 2000 Accepting new patients
Premium Health Group Clinic CurrentSince Mar 1, 2020 Accepting new patients
Policlinica del Atlantico, Corp. CurrentSince Apr 22, 2022 Accepting new patients
Prosalud Medical Center PSC Diagnostic Radiology CurrentSince Feb 1, 2016 Accepting new patients
Centro Radiologico Shalom Inc Diagnostic Radiology CurrentSince Dec 12, 2017 Accepting new patients
Hospital Menonita Humacao Inc Diagnostic Radiology Current Accepting new patients
Hospital Menonita Humacao Inc Diagnostic Radiology CurrentSince Apr 24, 2025 Accepting new patients
Policlinica Familiar Shalom Inc CurrentSince Dec 12, 2017 Accepting new patients
Hospital Menonita de Cayey CurrentSince Mar 1, 2020 Accepting new patients
Centro de Diagnostico Y Tratamiento de San Sebastian Inc CurrentSince Dec 12, 2017 Accepting new patients
Policlinica Familiar Shalom Inc CurrentSince Dec 12, 2017 Accepting new patients
Mennonite General Hospital Inc CurrentSince Aug 7, 2021 Accepting new patients
Policlinica del Atlantico, Corp. Past Accepting new patients
Laguna Gardens Radiology and Imaging Group Inc. Past Accepting new patients
Aguada Medical Center Care Club PastSince Nov 1, 2013 Accepting new patients

Locations

300 Calle Font Martelo
Humacao, PR 00791
Phone (787) 315-5855

63 Calle Cruz Ortiz Stella S
Humacao, PR 00791
Phone (787) 852-0920

3 Calle J Mendez Cardona
San Sebastian, PR 00685
Phone (787) 280-4335

Organizations & group practices 23

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.

View all 23

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": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1689678229",
    "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": "RAUL",
        "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": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "PR",
            "license": "12947",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "12947",
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "PR",
            "license": "12947",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

Verify at the official NPI Registry.