Individual
JOSE AGUSTIN NASSAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
63 CRUZ ORTIZ STELLA AVE., HUMACAO, PR 00791
(787) 852-0920
(787) 852-6685
Mailing address
PO BOX 9132, HUMACAO, PR 00792-9132
(787) 852-0920
(787) 852-6685
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2993
PR
2085U0001X
Diagnostic Ultrasound Physician
2993
PR
Other
Enumeration date
06/10/2005
Last updated
07/28/2022
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