{"npi":"1104897263","type":"NPI-1","status":"active","name":{"display":"Jose Taveras Brossa MD","other":[],"first":"JOSE","last":"TAVERAS BROSSA","middle":"E","credential":"MD"},"specialty":{"primary_taxonomy":"174400000X","primary_taxonomy_description":"Specialist","slug":"specialist","schema_org_specialty":null,"all":[{"code":"174400000X","description":"Specialist","primary":true,"state":"PR","license":"5369"}]},"addresses":[{"purpose":"LOCATION","street_1":"550 SERGIO BUSTAMANTES","city":"SAN JUAN","state":"PR","postal_code":"00918","country_code":"US","phone":"7872740484","fax":"7872740726"},{"purpose":"MAILING","street_1":"PO BOX 70169","city":"SAN JUAN","state":"PR","postal_code":"009368169","country_code":"US","phone":"7872740484","fax":"7872740726"}],"license":{"state":"PR","number":"5369"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20050923000048","type_code":"14-30","type_desc":"PRACTITIONER - DIAGNOSTIC RADIOLOGY","state":"PR","pac_id":"1254300023"}]},"enumeration_date":"2006-01-27","last_updated":"2007-07-08","_meta":{"source":"NPPES","snapshot_date":"2007-07-08","doc_url":"https://findmynpi.com/api"}}