Individual
MARIAISABEL RUSSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 AVE LAUREL, BAYAMON, PR 00956-4816
(787) 787-5151
Mailing address
252 CALLE CONVENTO, SAN JUAN, PR 00912-3207
(787) 726-1113
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
22320
PR
390200000X
Student in an Organized Health Care Education/Training Program
14720I
PR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
22320
PR
Other
Enumeration date
08/19/2018
Last updated
11/20/2025
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