Active NPIIndividual provider

Dr. Jose J Russe Russe, MD

Student in an Organized Health Care Education/Training Program in Bayamon, Puerto Rico

NPI Number1023999414
Practice location
70 Calle Santa Cruz, Bayamon, PR 00961-7052
Fax
—
Last updated
September 12, 2025

Jose Juan Russe Russe is a Student in an Organized Health Care Education/Training Program based in Bayamon, PR. Jose Juan Russe Russe practices in Bayamon, PR and has the professional credentials of MD. The NPI Number for Jose Juan Russe Russe is 1023999414 and holds a License No. 2564-PA (PR). The current practice location address for Jose Juan Russe Russe is 70 Calle Santa Cruz, Bayamon, PR 00961-7052 and can be reached out via phone at 787-620-4747.

Provider Profile Details

NPI Number
1023999414
Provider Name
Jose Juan Russe Russe
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
70 Calle Santa Cruz, Bayamon, PR 00961-7052
Phone Number
787-620-4747
Sole Proprietor
No
Provider Enumeration Date
September 11, 2025
Last Update Date
September 12, 2025
Certification Date
September 12, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
70 Calle Santa Cruz
Bayamon, PR 00961-7052
Zip
00961-7052
Phone Number
787-620-4747
Bayamon, PR 00961Get directions →

Provider Business Mailing Address Details

Address
Hc 67 Box 15090
Bayamon, PR 00956-9510
City
Bayamon
State
PR
Zip
00956-9510

License Information

License Number (1)
2564-PA
License State (1)
PR
Taxonomy (1)
Physician Assistant, Medical · 363AM0700X
License Number (2)
17631-I
License State (2)
PR

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jose J Russe Russe, MD?

The NPI number of Dr. Jose J Russe Russe, MD is 1023999414. It was assigned on September 11, 2025 and is currently active in the NPPES registry.

What is the specialty of Dr. Jose J Russe Russe, MD?

Dr. Jose J Russe Russe, MD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X), licensed in PR under license number 2564-PA.

Where does Dr. Jose J Russe Russe, MD practice?

The practice location is 70 Calle Santa Cruz, Bayamon, PR 00961-7052. The office can be reached at 787-620-4747 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023999414 directly on the NPPES registry website.

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