Active NPI
Elsie De Jesus
- Pharmacist
- Luquillo, PR
National Provider Identifier
1205770906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 002153
- Practice address
- Calle Dra. Irma Ruiz Pagan
#901 Urb Brisas del Mar
Luquillo, PR 00773 - Phone
- (787) 889-4880
- Fax
- (787) 889-8362
- NPI assigned
- Apr 15, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 002153 | PR | Primary |
Addresses
Primary practice location
Calle Dra. Irma Ruiz Pagan
#901 Urb Brisas del Mar
Luquillo, PR 00773
Mailing address
HC 1 Box 11131
Carolina, PR 00987-9659
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002153 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776211200000",
"number": "1205770906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 1 BOX 11131",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009879659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE DRA. IRMA RUIZ PAGAN",
"address_2": "#901 URB BRISAS DEL MAR",
"city": "LUQUILLO",
"state": "PR",
"postal_code": "00773",
"telephone_number": "787-889-4880",
"fax_number": "787-889-8362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE JESUS",
"first_name": "ELSIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-04-15",
"last_updated": "2026-04-15",
"certification_date": "2026-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "002153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Luquillo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.