Organization
CENTRO RADIOLOGICO DE HUMACAO, INC.
Active
Parent organization
JOSE A. NASSAR & ASOCIADOS
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOSE A. NASSAR & ASOCIADOS
Authorized official
DR. JOSE A NASSAR MD (PRESIDENT)
(787) 852-0920
Entity
Organization
Contact information
Practice address
63 CALLE CRUZ ORTIZ STELLA S, HUMACAO, PR 00791-4180
(787) 852-0920
(787) 285-4468
Mailing address
PO BOX 9132, HUMACAO, PR 00792-9132
(787) 852-0920
(787) 285-4468
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
12672
PR
261QR0200X
Radiology Clinic/Center
Primary
2993
PR
261QR0206X
Mammography Clinic/Center
2993
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
87836
MEDICARE ID-HOSP
PR
01
—
87887
MEDICARE ID
PR
Enumeration date
04/26/2010
Last updated
04/26/2010
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