Jose E Taveras Brossa, MD
Specialist in San Juan, PR. Individual provider (NPI-1).
NPI number1104897263
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1104897263
- Entity type
- Individual (NPI-1)
- Name
- Jose E Taveras Brossa
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 27, 2006
- Last updated
- Jul 13, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - DIAGNOSTIC RADIOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 5369 | PR | Yes |
Practice location
550 Sergio BustamantesSan Juan, PR 00918
Phone 787-274-0484 · Fax 787-274-0726
Mailing address
Po Box 70169San Juan, PR 00936-8169
Phone 787-274-0484 · Fax 787-274-0726
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