Jose Emilio Dejesus, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G9446 Issued in TX

Practice address

8353 Culebra Rd
Ste 101
San Antonio, TX 78251-1902

Phone

(210) 706-2580

Fax

(210) 706-2582

NPI assigned

Jul 7, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1245237049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8353 CULEBRA RD",
            "address_2": "STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782511902",
            "telephone_number": "210-706-2580",
            "fax_number": "210-706-2582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8353 CULEBRA RD",
            "address_2": "STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782511902",
            "telephone_number": "210-706-2580",
            "fax_number": "210-706-2582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJESUS",
        "first_name": "JOSE",
        "middle_name": "EMILIO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G9446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED MEDICAID",
            "identifier": "1388381-14",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED MEDICAL GROUP PA",
            "identifier": "TXB121779",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis J Deiasi, PA
• Lauren Nicole Deike
• Marvin Deivis Medeiros, MD
• Benjamin Dejesus Jr.
• Elvira S Dejesus, APN-CNS
• Melissa Dejesus, SLP-A
• Laura Dejong
• Dirk Paul Dekoch, DDS
• John McCullough Dekoch, D.D.S.
• Susan Rollins Dekoch, DDS

• Family Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.