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Individual
DR. JOSE JUAN RUSSE RUSSE
Active
Individual
DR. JOSE JUAN RUSSE RUSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
2564-PA
PR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
17631-I
PR
Other
Enumeration date
09/11/2025
Last updated
09/12/2025
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