Dr Jose Juan Russe Russe, MD is a
Student In An Organized Health Care Education/training Program based in Bayamon, Puerto Rico. Dr Jose Juan Russe Russe is licensed to practice in Puerto Rico (license number 17631-I) and his current practice location is
70 Calle Santa Cruz, Bayamon, Puerto Rico. He can be reached at his office (for appointments etc.) via phone at
(787) 620-4747.
NPI number for Dr Jose Juan Russe Russe is 1023999414 and his current mailing address is Hc 67 Box 15090, Bayamon, Puerto Rico. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1023999414.
Provider's Profile
| Full Name | Dr Jose Juan Russe Russe |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 70 Calle Santa Cruz, Bayamon, Puerto Rico |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1023999414
- Provider Enumeration Date: 09/11/2025
- Last Update Date: 09/12/2025
Medical Identifiers
Medical identifiers for Dr Jose Juan Russe Russe such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023999414 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | 2564-PA (Puerto Rico) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 17631-I (Puerto Rico) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jose Juan Russe Russe is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jose Juan Russe Russe, MD
Hc 67 Box 15090,
Bayamon, PR 00956-9510
Ph: () - | Dr Jose Juan Russe Russe, MD
70 Calle Santa Cruz,
Bayamon, PR 00961-7052
Ph: (787) 620-4747 |
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