Carmen Ofelia De Jesus, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1713 Issued in PR

Practice address

Edif Centro Europa Ste 715
1492 Ave Ponce de Leon, Pda. 22
Santurce, PR 00907-4012

Phone

(787) 781-3545

Fax

(787) 781-2587

NPI assigned

Jan 16, 2007

Last updated

Aug 28, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Health Image Diagnostic PSC

  • Radiology Clinic/Center
  • San Juan, PR
  • NPI 1073641551
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409184000000",
    "number": "1295887925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 363216",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009363216",
            "telephone_number": "787-781-3545",
            "fax_number": "787-781-2587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIF CENTRO EUROPA STE 715",
            "address_2": "1492 AVE PONCE DE LEON, PDA. 22",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "009074012",
            "telephone_number": "787-781-3545",
            "fax_number": "787-781-2587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JESUS",
        "first_name": "CARMEN",
        "middle_name": "OFELIA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2014-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karyna Limary Cruz, BSN RN
• Norma I. Cruz, M.D.
• Rosa Ileana Cruz, MD
• Damar of Puerto Rico Services Inc (Farmacia CDT Dr. Arnaldo J. Garcia)
• Damar of Puerto Rico Services, Inc. (Farmacia CDT DR. Gualberto Rabell)
• Roselania De la Rosa
• Sylvia De Mercado, MD
• Francisco R De Torres Sr., MD
• Laura J Delcarmen Rivera
• Milton Oscar Delgado Mejias, MD

• General Practice Dentistry in Santurce, PR
• Providers in Santurce, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.