Organization
JCN RADIOLOGY, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE R NASSAR MD (PRESIDENT)
(787) 852-0920
Entity
Organization
Contact information
Practice address
63 CRUZ ORTIZ STELLA AVENUE, HUMACAO, PR 00791
(787) 852-0920
(787) 852-7770
Mailing address
PO BOX 9132, HUMACAO, PR 00792-9132
(787) 852-0920
(787) 852-7770
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
12947
PR
2085R0202X
Diagnostic Radiology Physician
Primary
12947
PR
2085U0001X
Diagnostic Ultrasound Physician
12947
PR
Other
Enumeration date
08/28/2008
Last updated
07/28/2022
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