Individual
DR. JOSE JUAN RUSSE RUSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
70 CALLE SANTA CRUZ, BAYAMON, PR 00961-7052
(787) 620-4747
Mailing address
HC 67 BOX 15090, BAYAMON, PR 00956-9510
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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