Organization Active NPI

J E Nazario & Asociados Medical Services PSC

  • General Practice Physician
  • Ponce, PR
National Provider Identifier
1982986683
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
J E NAZARIO & ASOCIADOS MEDICAL SERVICES PSC
Practice address
818 Ave Hostos Ste C
Ponce, PR 00716-1110
Phone
(787) 284-3005
Fax
(787) 842-9922
NPI assigned
Sep 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2014

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

Authorized official

Name
Jose E Nazario, MD
Title
President
Phone
(787) 284-3005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

818 Ave Hostos Ste C
Ponce, PR 00716-1110

Mailing address

PO Box 800952
Coto Laurel, PR 00780-0952
Phone (787) 284-3005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141003001019 PR Part B Supplier - Clinic/Group Practice 1557581139 Receives reassigned benefits from 1 practitioner
Practice locations: Ponce, PR

National Provider Directory

National Provider Directory

Locations

818 Ave Hostos
#C
Ponce, PR 00716
Phone (787) 284-3005

818 Ave Hostos
Ste C
Ponce, PR 00716
Phone (787) 284-3005

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1316390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404950400000",
    "number": "1982986683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800952",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007800952",
            "telephone_number": "787-284-3005",
            "fax_number": "787-842-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 AVE HOSTOS STE C",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007161110",
            "telephone_number": "787-284-3005",
            "fax_number": "787-842-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J E NAZARIO & ASOCIADOS MEDICAL SERVICES PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-19",
        "last_updated": "2014-07-10",
        "status": "A",
        "authorized_official_last_name": "NAZARIO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-284-3005",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.