Carlos Jose Russe-Russe

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1065 Issued in PR

Practice address

252 Calle Convento
San Juan, PR 00912-3207

Phone

(787) 726-1113

NPI assigned

Jul 14, 2025

Last updated

Jul 14, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Centro de Reumatologia Pediatrica de Puerto Rico

  • Pediatric Rheumatology Physician
  • Santurce, PR
  • NPI 1841313442
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1752451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1013808294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 CALLE CONVENTO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009123207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 CALLE CONVENTO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009123207",
            "telephone_number": "787-726-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSE-RUSSE",
        "first_name": "CARLOS",
        "middle_name": "JOSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PR",
            "license": "1065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Del Carmen Rullan, MD, MPH
• Mayra Rullan, OD
• Paulina Del Mar Rullan
• Ramon G Rullan
• Libertad Isabel Ruscalleda Reyes, M.D.
• Isabel Maria Rutzen-Lopez
• RV Investment Enterprice, Corporation
• RV Medical Services, PSC
• RV Optics Eye Care Inc
• RVP Dental Medical Center, LLC

• Chiropractor in San Juan, PR
• Providers in San Juan, PR by specialty
• Chiropractor in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.