Raquel De Jesus, PHD

Key facts

NPI

1336780824

Entity type

Individual (NPI type 1)

Primary specialty

Clinical Psychologist 103TC0700X

License

7789 (PR)

Practice address

PO Box 190
Mayaguez, PR 00681-0190

Phone

(787) 831-5800

NPI assigned

Oct 5, 2019

Sex

Female

Sole proprietor

No

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 and National Provider Directory roles.

• Migrant Health Center Western Region,Inc Federally Qualified Health Center (FQHC) · Mayaguez, PR · NPI 1609969286
  Medicare reassignment NPD PR
• Migrant Health Center Western Region, Inc. Clinic Pharmacy · Yauco, PR · NPI 1093262297
  NPD
• Migrant Health Center Western Region, Inc. Radiology Clinic/Center · Las Marias, PR · NPI 1508453051
  NPD
• Coalicion de Coaliciones Pro Personas Sin Hogar de Puerto Rico Adult Mental Health Clinic/Center · Ponce, PR · NPI 1396290987
  NPD (past)
• Coalicion de Coaliciones Pro Personas Sin Hogar de Puerto Rico, Inc Case Management Agency · Ponce, PR · NPI 1225314438
  NPD (past)

Medicare Care Compare profile

Specialty

Clinical Psychologist

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Philosophy

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 10, 2025.

{
    "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

• Andrea Isabel De Jesus Navia
• Zorima De Jesus Rivera
• Zully Rubi De Jesus Rivera, DDS
• De Jesus-Torres, Gastroenterologos del Oeste, CSP
• Jorge R. De Jesus, M.D.
• Rolando De la Cruz Velez
• Johaan De la Cruz, M.A.
• Minerva De Santiago, BSPH
• Jose M Del Rio Ferrer, MD
• Teresa Pilar Del Rio Montesinos, MD

All providers in Mayaguez, PR · Clinical Psychologist in Puerto Rico