Active NPI
Jose E Taveras Brossa, MD
- Specialist
- San Juan, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 5369
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 IncSalud Integral En la Montana Inc
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5369 | PR | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salud Integral En la Montana, Inc | Current | Accepting new patients | |
| Aguadilla Medical Services, Inc. | Current | Accepting new patients | |
| Salud Integral En la Montana, Inc | Current | Accepting new patients | |
| Aguadilla Medical Services, Inc. | Current | Accepting new patients | |
| Med Centro, Inc. | Current | Accepting new patients | |
| Med Centro, Inc. | Current | Accepting new patients | |
| Salud Integral En la Montana, Inc. | Current | Accepting new patients | |
| Med Centro, Inc. | Current | Accepting new patients | |
| Salud Integral En la Montana, Inc | Current | Accepting new patients | |
| Advance Digital Image, Corp | Current | Accepting new patients | |
| Mediko Imaging Inc. | Current | Accepting new patients | |
| Ecoimagenes de Puerto Rico, Corp. | Current | Accepting new patients | |
| Salud Integral En la Montana, Inc | Current | Accepting new patients | |
| Insight Management Group Inc | Current | Accepting new patients | |
| Salud Integral En la Montana, Inc | Current | Accepting new patients | |
| Salud Integral En la Montana, Inc. | Current | Accepting new patients | |
| Salud Integral En la Montana, Inc. | Current | Accepting new patients | |
| Salud Integral En la Montana, Inc | Current | Accepting new patients | |
| Salud Integral En la Montana, Inc | Current | Accepting new patients | |
| Aguadilla Medical Services, Inc. | Current | Accepting new patients | |
| Guaynabo Radiology, LLC | Current | Accepting new patients | |
| Mediko Imaging Inc. | Past | Accepting new patients | |
| TMR Diagnostic Imaging | Past | 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 | Past | 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.
-
- Federally Qualified Health Center (FQHC)
- Corozal, PR
- NPI 1184647851
PR
-
- Federally Qualified Health Center (FQHC)
- Comerio, PR
- NPI 1275556946
PR
-
- Federally Qualified Health Center (FQHC)
- Orocovis, PR
- NPI 1487677159
PR
-
- Federally Qualified Health Center (FQHC)
- Naranjito, PR
- NPI 1578586244
PR
-
- Federally Qualified Health Center (FQHC)
- Toa Alta, PR
- NPI 1639372618
PR
-
- Federally Qualified Health Center (FQHC)
- Ponce, PR
- NPI 1669097374
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.