Individual provider Active NPI

Carlos Jose Nassar, MD

  • Diagnostic Radiology Physician
  • Humacao, PR
National Provider Identifier
1922002559
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
12672 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
Body Imaging Physician 2085B0100X 12672 PR
Diagnostic Ultrasound Physician 2085U0001X 12672 PR
Diagnostic Radiology Physician 2085R0202X 12672 PR Primary

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
I20071002000781 PR Practitioner - Diagnostic Radiology 5193810331 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Puerto Rico School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Jose a Nassar and AsociadosGroup PAC ID 0143310789, 6 clinicians
Policlinica del Atlantico CorpGroup PAC ID 7911801915, 3 clinicians
Hospital Menonita de CayeyGroup PAC ID 2466449657, 57 clinicians

Practice addresses (Care Compare)

355 Ave Font Martelo
Humacao, PR 00791-3249
Phone (787) 852-0768

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 111
Bo Mora
Isabela, PR 00662-5802
Phone (787) 830-7737

Carretera 14 Interior
Bo Rincon
Cayey, PR 00737-2800
Phone (787) 434-1700

PO Box
Suite 1927
Isabela, PR 00662

PO Box
Suite 372800
Cayey, PR 00737-2800

Road 474 KM
Suite 2
Isabela, PR 00662
Phone (787) 830-6100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12672PRMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Diagnostico Y Tratamiento de San Sebastian Inc Diagnostic Radiology CurrentSince Jun 30, 2018 Accepting new patients
Dr Jose a Nassar & Asociados Body Imaging CurrentSince May 10, 1996 Accepting new patients
Mennonite General Hospital Inc. CurrentSince Aug 1, 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 Body Imaging CurrentSince May 10, 1996 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 Body Imaging 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 20, 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 Jun 30, 2018 Accepting new patients
Policlinica Familiar Shalom Inc CurrentSince Dec 12, 2017 Accepting new patients
Mennonite General Hospital Inc CurrentSince Aug 1, 2021 Accepting new patients
RMG Management Limited Liability Company CurrentSince Jun 8, 2024 Accepting new patients
M & P Radiologos, LLC Body Imaging Past Accepting new patients
Policlinica del Atlantico, Corp. Past Accepting new patients
Laguna Gardens Radiology and Imaging Group Inc. Past 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 25

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 25

Hospital & facility affiliations 2

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": "1922002559",
    "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": "CARLOS",
        "middle_name": "JOSE",
        "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": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "PR",
            "license": "12672",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "PR",
            "license": "12672",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "12672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

Verify at the official NPI Registry.