Individual provider Active NPI

Raquel De Jesus, PHD

  • Clinical Psychologist
  • Mayaguez, PR
National Provider Identifier
1336780824
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7789 Issued in PR
Practice address
PO Box 190
Mayaguez, PR 00681-0190
Phone
(787) 831-5800
NPI assigned
Oct 5, 2019
Last updated
Jul 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Clinical Psychologist 103TC0700X 7789 PR Primary

Addresses

Primary practice location

PO Box 190
Mayaguez, PR 00681-0190

Mailing address

PO Box 52104
Toa Baja, PR 00950-2104
Phone (787) 224-5911

Other practice location 1

44 Calle Isabel
Ponce, PR 00730-3722
Phone (787) 848-3073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250815002366 PR Practitioner - Clinical Psychologist 0648779702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Mayaguez, PR 00681

PO Box
Suite 190
Mayaguez, PR 00681-0190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Migrant Health Center Western Region, Inc. CurrentSince Jul 14, 2025 Accepting new patients
Migrant Health Center Western Region, Inc. CurrentSince Jul 14, 2025 Accepting new patients
Migrant Health Center Western Region,Inc Current Accepting new patients
Coalicion de Coaliciones Pro Personas Sin Hogar de Puerto Rico, Inc PastSince Oct 1, 2019 Accepting new patients
Coalicion de Coaliciones Pro Personas Sin Hogar de Puerto Rico PastSince Oct 1, 2019 Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1570233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1336780824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52104",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009502104",
            "telephone_number": "787-224-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006810190",
            "telephone_number": "787-831-5800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44 Calle Isabel",
            "address_purpose": "LOCATION",
            "city": "Ponce",
            "state": "PR",
            "postal_code": "007303722",
            "country_code": "US",
            "telephone_number": "787-848-3073",
            "fax_number": "787-812-0301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE JESUS",
        "first_name": "RAQUEL",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-05",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "7789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.