Individual provider Active NPI

Jose Luis Torres Russe, M.D.

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1902968340
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
16402 Issued in PR
Practice address
Carr. 21 Int Carr.18
Bo. Monacillo Urbano
San Juan, PR 00927
Phone
(787) 772-8300
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 16402 PR Primary

Addresses

Primary practice location

Carr. 21 Int Carr.18
Bo. Monacillo Urbano
San Juan, PR 00927

Mailing address

1150 Carr 2 Apt 86
Bayamon, PR 00961-7373
Phone (787) 772-8300

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
I20071029000184 PR Practitioner - General Practice 0042307787 Practice locations: Orocovis, PR; San Juan, PR

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Comerio Medical Hospital Inc Past Accepting new patients
Vega Alta Community Health Past Accepting new patients
Vega Baja Community Health Past Accepting new patients
Comerio Medical Hospital Inc Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1902968340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 CARR 2 APT 86",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617373",
            "telephone_number": "787-772-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 21 INT CARR.18",
            "address_2": "BO. MONACILLO URBANO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00927",
            "telephone_number": "787-772-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES RUSSE",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.