Active NPIIndividual providerSole proprietor

Elitzia J De Jesus, LCDA

Psychologist in Rio Grande, Puerto Rico

NPI Number1730842378
Practice location
Urb. Industrial Las Flores Carr. 3 Km 23.9, Rio Grande, PR 00721
Fax
787-751-3755
Last updated
October 20, 2021

Elitzia J De Jesus is a Psychologist based in Rio Grande, PR. Elitzia J De Jesus practices in Rio Grande, PR and has the professional credentials of LCDA. The NPI Number for Elitzia J De Jesus is 1730842378 and holds a License No. 3092 (PR). The current practice location address for Elitzia J De Jesus is Urb. Industrial Las Flores Carr. 3 Km 23.9, Rio Grande, PR 00721 and can be reached out via phone at 787-704-0705 and via fax at 787-751-3755.

Provider Profile Details

NPI Number
1730842378
Provider Name
Elitzia J De Jesus
Credential
LCDA
Provider Entity Type
Individual
Gender
Female
Address
Urb. Industrial Las Flores Carr. 3 Km 23.9, Rio Grande, PR 00721
Phone Number
787-704-0705
Fax Number
787-751-3755
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 20, 2021
Last Update Date
October 20, 2021
Certification Date
September 23, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
Urb. Industrial Las Flores Carr. 3 Km 23.9
Rio Grande, PR 00721
Zip
00721
Phone Number
787-704-0705
Fax Number
787-751-3755
Rio Grande, PR 00721Get directions →

Provider Business Mailing Address Details

Address
Hc 67 Box 18195
Fajardo, PR 00738-9432
City
Fajardo
State
PR
Zip
00738-9432
Phone Number
214-791-3635

License Information

License Number
3092
License State
PR
Taxonomy
Psychologist · 103T00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Elitzia J De Jesus, LCDA?

The NPI number of Elitzia J De Jesus, LCDA is 1730842378. It was assigned on October 20, 2021 and is currently active in the NPPES registry.

What is the specialty of Elitzia J De Jesus, LCDA?

Elitzia J De Jesus, LCDA is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in PR under license number 3092.

Where does Elitzia J De Jesus, LCDA practice?

The practice location is Urb. Industrial Las Flores Carr. 3 Km 23.9, Rio Grande, PR 00721. The office can be reached at 787-704-0705 (phone) or 787-751-3755 (fax).

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 1730842378 directly on the NPPES registry website.

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