Individual
CARLOS JOSE RUSSE-RUSSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
252 CALLE CONVENTO, SAN JUAN, PR 00912-3207
(787) 726-1113
Mailing address
252 CALLE CONVENTO, SAN JUAN, PR 00912-3207
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1065
PR
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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