Individual provider Active NPI

Jose E Taveras Brossa, MD

  • Specialist
  • San Juan, PR
National Provider Identifier
1104897263
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
5369 Issued in PR
Practice address
550 Sergio Bustamantes
San Juan, PR 00918
Phone
(787) 274-0484
Fax
(787) 274-0726
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 5369 PR Primary

Addresses

Primary practice location

550 Sergio Bustamantes
San Juan, PR 00918

Mailing address

PO Box 70169
San Juan, PR 00936-8169
Phone (787) 274-0484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050923000048 PR Practitioner - Diagnostic Radiology 1254300023 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Med Centro IncGroup PAC ID 5890692131, 62 clinicians
Salud Integral En la Montana IncGroup PAC ID 8527972827, 64 clinicians

Practice addresses (Care Compare)

1034 Ave Hostos
Ponce, PR 00716-1115
Phone 78784393931025

18 Calle Gerardo Nieves Mercado
Comerio, PR 00782-2539
Phone (787) 875-3375

4 Carr
Suite 165
Toa Alta, PR 00953-2338
Phone (787) 545-8808

Carr 155 Ave Luis Munoz Marin
Orocovis, PR 00719
Phone (787) 867-6010

Carr 167 KM
8 Bo Pajaros Puertorriquenos
Bayamon, PR 00961
Phone (787) 780-3435

Carr 891 KM
1 Bo Pueblo
Corozal, PR 00783-2441
Phone (787) 859-2560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5369PRMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Salud Integral En la Montana, Inc CurrentSince May 15, 2019 Accepting new patients
Aguadilla Medical Services, Inc. CurrentSince Mar 2, 2021 Accepting new patients
Salud Integral En la Montana, Inc Current Accepting new patients
Aguadilla Medical Services, Inc. CurrentSince Mar 2, 2021 Accepting new patients
Med Centro, Inc. CurrentSince Dec 6, 2023 Accepting new patients
Med Centro, Inc. CurrentSince Dec 6, 2023 Accepting new patients
Salud Integral En la Montana, Inc. CurrentSince May 15, 2019 Accepting new patients
Med Centro, Inc. CurrentSince Dec 6, 2023 Accepting new patients
Salud Integral En la Montana, Inc Current Accepting new patients
Advance Digital Image, Corp CurrentSince Apr 17, 2019 Accepting new patients
Mediko Imaging Inc. CurrentSince Aug 17, 2000 Accepting new patients
Ecoimagenes de Puerto Rico, Corp. CurrentSince Mar 16, 2021 Accepting new patients
Salud Integral En la Montana, Inc CurrentSince May 15, 2019 Accepting new patients
Insight Management Group Inc CurrentSince Oct 24, 2020 Accepting new patients
Salud Integral En la Montana, Inc CurrentSince May 15, 2019 Accepting new patients
Salud Integral En la Montana, Inc. Current Accepting new patients
Salud Integral En la Montana, Inc. CurrentSince May 15, 2019 Accepting new patients
Salud Integral En la Montana, Inc CurrentSince May 15, 2019 Accepting new patients
Salud Integral En la Montana, Inc Current Accepting new patients
Aguadilla Medical Services, Inc. Current Accepting new patients
Guaynabo Radiology, LLC CurrentSince Mar 1, 2021 Accepting new patients
Mediko Imaging Inc. Past Accepting new patients
TMR Diagnostic Imaging PastSince Nov 15, 1991 Accepting new patients
Aguadilla Medical Services, Inc Past Accepting new patients
Zenith Health Group LLC Past Accepting new patients
Mediko Imaging Inc. Past Accepting new patients
Mediko Imaging Inc. Past Accepting new patients
Aguada Medical Center Care Club PastSince Mar 16, 2019 Accepting new patients
Salud Integral En la Montana, Inc Past Accepting new patients

Locations

PQ24 Ave El Comandante
Carolina, PR 00982
Phone (787) 310-8955

18 Calle Gerardo Nieves Mercado
Comerio, PR 00782

8 Ave Las Cumbres
Guaynabo, PR 00969
Phone (787) 307-7674

3 Calle Jesus T Pinero
Las Piedras, PR 00771
Phone (787) 733-2353

1034 Ave Hostos
Ponce, PR 00716
Phone (787) 242-2279

57 Calle Munoz Rivera N
San Lorenzo, PR 00754
Phone (787) 736-0630

16 Calle Antonio R Barcelo
Toa Alta, PR 00953
Phone (787) 230-7190

Organizations & group practices 41

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

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1104897263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70169",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009368169",
            "telephone_number": "787-274-0484",
            "fax_number": "787-274-0726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 SERGIO BUSTAMANTES",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-274-0484",
            "fax_number": "787-274-0726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVERAS BROSSA",
        "first_name": "JOSE",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "5369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.