Provider Demographics
NPI:1982986683
Name:J E NAZARIO & ASOCIADOS MEDICAL SERVICES PSC
Entity Type:Organization
Organization Name:J E NAZARIO & ASOCIADOS MEDICAL SERVICES PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:E
Authorized Official - Last Name:NAZARIO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-284-3005
Mailing Address - Street 1:PO BOX 800952
Mailing Address - Street 2:
Mailing Address - City:COTO LAUREL
Mailing Address - State:PR
Mailing Address - Zip Code:00780-0952
Mailing Address - Country:US
Mailing Address - Phone:787-284-3005
Mailing Address - Fax:787-842-9922
Practice Address - Street 1:818 AVE HOSTOS STE C
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716-1110
Practice Address - Country:US
Practice Address - Phone:787-284-3005
Practice Address - Fax:787-842-9922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-19
Last Update Date:2014-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty