NPIMap

Organization Active NPI

Centro Radiologico de Yabucoa, Inc.

  • Radiology Clinic/Center
  • Yabucoa, PR
National Provider Identifier
1902123193
Registry record updated Apr 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
2993 Issued in PR
Legal business name
CENTRO RADIOLOGICO DE YABUCOA, INC.
Practice address
Plaza Yabucoa # 901
KM13.1, Lote 5, Bo. Juan Martin
Yabucoa, PR 00767-3338
Phone
(787) 266-0930
Fax
(787) 266-3244
NPI assigned
Apr 27, 2010
Last updated
Apr 27, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
DR. JOSE A. NASSAR & ASOCIADOSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 27, 2010

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

Authorized official

Name
Dr. Jose A Nassar, MDNPI 1417951013
Title
President
Phone
(787) 852-0920

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 2993 PR Primary

Addresses

Primary practice location

Plaza Yabucoa # 901
KM13.1, Lote 5, Bo. Juan Martin
Yabucoa, PR 00767-3338

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
87836OtherPRMEDICARE ID-HOSP
87887OtherPRMEDICARE ID

National Provider Directory

National Provider Directory
Part of
Dr Jose a Nassar Asociados

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272326400000",
    "number": "1902123193",
    "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": "PLAZA YABUCOA # 901",
            "address_2": "KM13.1, LOTE 5, BO. JUAN MARTIN",
            "city": "YABUCOA",
            "state": "PR",
            "postal_code": "007673338",
            "telephone_number": "787-266-0930",
            "fax_number": "787-266-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO RADIOLOGICO DE YABUCOA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR. JOSE A. NASSAR & ASOCIADOS",
        "enumeration_date": "2010-04-27",
        "last_updated": "2010-04-27",
        "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": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "PR",
            "license": "2993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-HOSP",
            "identifier": "87836",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "87887",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yabucoa, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.