Active NPI
Jorge R. De Jesus, M.D.
- Psychiatry Physician
- Mayaguez, PR
National Provider Identifier
1194721431
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Mar 20, 2025.
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 13959
- Practice address
- 445 Ave Gonzalez Clemente
Ste 102
Mayaguez, PR 00682-1136 - Phone
- (787) 450-7376
- NPI assigned
- Jun 22, 2005
- Last updated
- Jul 27, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 13959 | PR | Primary |
Addresses
Primary practice location
445 Ave Gonzalez Clemente
Ste 102
Mayaguez, PR 00682-1136
Mailing address
282 Calle Miramar
Mayaguez, PR 00682-5836
Phone (787) 832-4116
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13959 | PR | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469577600000",
"number": "1194721431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "282 CALLE MIRAMAR",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006825836",
"telephone_number": "787-832-4116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 AVE GONZALEZ CLEMENTE",
"address_2": "STE 102",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006821136",
"telephone_number": "787-450-7376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE JESUS",
"first_name": "JORGE",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-22",
"last_updated": "2016-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PR",
"license": "13959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mayaguez, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.