Organization
CENTRO RADIOLOGICO DE YABUCOA, INC.
Active
Parent organization
DR. JOSE A. NASSAR & ASOCIADOS
Organization subpart
Yes
Provider details
NPI number
Legal business name
DR. JOSE A. NASSAR & ASOCIADOS
Authorized official
DR. JOSE A NASSAR MD (PRESIDENT)
(787) 852-0920
Entity
Organization
Contact information
Practice address
PLAZA YABUCOA # 901, KM13.1, LOTE 5, BO. JUAN MARTIN, YABUCOA, PR 00767-3338
(787) 266-0930
(787) 266-3244
Mailing address
PO BOX 9132, HUMACAO, PR 00792-9132
(787) 852-0920
(787) 285-4468
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
2993
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
87836
MEDICARE ID-HOSP
PR
01
—
87887
MEDICARE ID
PR
Enumeration date
04/27/2010
Last updated
04/27/2010
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