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

Active since January 27, 2006PECOS EnrolledAccepts Medicare Assignment
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: October 25, 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
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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

7

Medicare enrollment records show Jose Taveras Brossa reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
2 AVE VICTORIA
Aguadilla, PR 00603
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 26 clinicians in this Medicare group
Radiologic Technologist
AVE. MILITAR KM. 112.9 SECTOR LA CURVA, SUITE 101
Isabela, PR 00662
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 16 clinicians in this Medicare group
Radiology
10 AVE LAS CUMBRES
Guaynabo, PR 00969
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 32 clinicians in this Medicare group
Radiology
PR RD 2, KM. 123.8, BO. CAIMITAL ALTO
Aguadilla, PR 00625
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 31 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
CARR 385 # KM.5, CUEVAS WARD
Penuelas, PR 00624
  • Reassigned Medicare billing, Puerto Rico enrollment
  • Also billed through NPI 1164742656 (Puerto Rico)
  • 94 clinicians in this Medicare group
Radiology
AVE. JOSE VILLARES, #23 CONDADO VIEJO
Caguas, PR 00725
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 9 clinicians in this Medicare group
Radiology, Mammography
CARR 891 KM, BO. PUEBLO
Corozal, PR 00783

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organizations bill Medicare for Jose Taveras Brossa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Taveras Brossa reassigns Medicare benefits to 7 organizations: Aguadilla Medical Services, Inc. (Aguadilla, PR), Ecoimagenes De Puerto Rico, Corp. (Isabela, PR), Guaynabo Radiology, LLC (Guaynabo, PR), Insight Management Group Inc (Aguadilla, PR), Med Centro, Inc. (Penuelas, PR) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jose Taveras Brossa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 3 months 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.