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Individual

JOSE RAUL 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
2085N0700X
Neuroradiology Physician
12947
PR
2085R0202X
Diagnostic Radiology Physician
Primary
12947
PR
2085U0001X
Diagnostic Ultrasound Physician
12947
PR

Other

Enumeration date
06/10/2005
Last updated
07/28/2022
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