Dr. Jose M De Jesus, MD, OD
General Practice in San Juan, Puerto Rico
1114948874- Practice location
- 1341 Calle Aldea Apt Th1, San Juan, PR 00907-2320
- Phone
- 787-905-3772
- Fax
- —
- Last updated
- October 25, 2021
Jose Miguel De Jesus is a General Practice based in San Juan, PR. Jose Miguel De Jesus practices in San Juan, PR and has the professional credentials of MD, OD. The NPI Number for Jose Miguel De Jesus is 1114948874 and holds a License No. 194 (PR). The current practice location address for Jose Miguel De Jesus is 1341 Calle Aldea Apt Th1, San Juan, PR 00907-2320 and can be reached out via phone at 787-905-3772.
Provider Profile Details
- NPI Number
- 1114948874
- Provider Name
- Jose Miguel De Jesus
- Credential
- MD, OD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1341 Calle Aldea Apt Th1, San Juan, PR 00907-2320
- Phone Number
- 787-905-3772
- Primary Taxonomy
- General Practice · 208D00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 21, 2006
- Last Update Date
- October 25, 2021
- Certification Date
- October 25, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1341 Calle Aldea Apt Th1
San Juan, PR 00907-2320 - City
- San Juan
- State
- Puerto Rico
- Zip
- 00907-2320
- Phone Number
- 787-905-3772
Provider Business Mailing Address Details
- Address
- 273 Sierra Morena
181 Pb La Cumbre
San Juan, PR 00926-0001 - City
- San Juan
- State
- PR
- Zip
- 00926-0001
- Phone Number
- 787-905-3772
- Fax Number
- 787-705-5838
License Information
- License Number (1)
- 194
- License State (1)
- PR
- Taxonomy (1)
- Optometrist · 152W00000X
- License Number (2)
- 21104
- License State (2)
- PR
- Taxonomy (2)
- Emergency Medicine · 207P00000X
- License Number (3)
- 21104
- License State (3)
- PR
- Taxonomy (3)
- General Practice · 208D00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Jose M De Jesus, MD, OD?
The NPI number of Dr. Jose M De Jesus, MD, OD is 1114948874. It was assigned on July 21, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Jose M De Jesus, MD, OD?
Dr. Jose M De Jesus, MD, OD is registered under the primary taxonomy General Practice (code 208D00000X), licensed in PR under license number 194.
Where does Dr. Jose M De Jesus, MD, OD practice?
The practice location is 1341 Calle Aldea Apt Th1, San Juan, PR 00907-2320. The office can be reached at 787-905-3772 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114948874 directly on the NPPES registry website.