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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JOSE E TAVERAS BROSSA MD
NPI 1104897263
Specialist in San Juan, PR

Active since January 27, 2006PECOS Enrolled
550 SERGIO BUSTAMANTES, SAN JUAN, PR 00918(787) 274-0484(787) 274-0726 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jose E Taveras Brossa Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSE E TAVERAS BROSSA MD (NPI 1104897263) is an individual specialist in San Juan, Puerto Rico, licensed in Puerto Rico (5369) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1976).

NPPES Registry Identity

NPI1104897263
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameJOSE E TAVERAS BROSSACredential: MD
Location Address550 SERGIO BUSTAMANTESSan Juan, PR 00918
Mailing AddressPo Box 70169San Juan, PR 00936-8169 · (787) 274-0484 · Fax (787) 274-0726
Phone(787) 274-0484
Fax(787) 274-0726
Sole ProprietorNo
Medical School CMSOtherGraduated 1976
Enumeration DateJanuary 27, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1104897263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in PR · 5369
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jose E Taveras Brossa Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254300023
PECOS Enrollment IDI20050923000048
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jose Taveras Brossa's NPI number?

The NPI number for Jose Taveras Brossa is 1104897263. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is Jose Taveras Brossa located?

Jose Taveras Brossa practices at 550 Sergio Bustamantes, San Juan, PR 00918. The listed phone number is (787) 274-0484.

What is Jose Taveras Brossa's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Jose Taveras Brossa enrolled in Medicare?

Yes. Jose Taveras Brossa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jose Taveras Brossa was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.