| Jose Agustin Nassar, MD | |
|
63 Cruz Ortiz Stella Ave., Humacao, PR 00791 | |
| (787) 852-0920 | |
| (787) 852-6685 |
| Full Name | Jose Agustin Nassar |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 63 Cruz Ortiz Stella Ave., Humacao, Puerto Rico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417951013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085U0001X | Radiology - Diagnostic Ultrasound | 2993 (Puerto Rico) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 2993 (Puerto Rico) | Primary |
| Entity Name | Dr Jose A Nassar & Asociados |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124022744 PECOS PAC ID: 0143310789 Enrollment ID: O20071219000428 |
| Mailing Address | Practice Location Address |
|---|---|
| Jose Agustin Nassar, MD Po Box 9132, Humacao, PR 00792-9132 Ph: (787) 852-0920 | Jose Agustin Nassar, MD 63 Cruz Ortiz Stella Ave., Humacao, PR 00791 Ph: (787) 852-0920 |
Kenneth Badillo Cecilia, M.D. Radiology Medicare: Medicare Enrolled Practice Location: Urb Los Sauces Flamboyan, 413, Humacao, PR 00791 Phone: 787-643-9929 | |
Jose Raul Nassar, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 63 Cruz Ortiz Stella Ave., Humacao, PR 00791 Phone: 787-852-0920 Fax: 787-852-6685 | |
Carlos Jose Nassar, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 63 Cruz Ortiz Stella Ave., Humacao, PR 00791 Phone: 787-852-0920 Fax: 787-852-6685 |