Deyaneira Raices de Jesus

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

2876 Issued in PR

Practice address

1046 Ave Hostos Ste 118
Ponce, PR 00716-1119

Phone

(787) 841-3260

NPI assigned

Sep 25, 2023

Last updated

Oct 15, 2023By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697328000000",
    "number": "1356120935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 5005",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006279194",
            "telephone_number": "787-475-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1046 AVE HOSTOS STE 118",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007161119",
            "telephone_number": "787-841-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAICES DE JESUS",
        "first_name": "DEYANEIRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-10-15",
        "certification_date": "2023-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "2876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• R.E.P Medical Serv, CSP
• Radiation Oncology Group
• Radiologos Asociados del Sur
• Radiologos del Sur, LLC (Jorge L.Torres)
• Shruti Rai
• William Raimundi Rodriguez, OD
• Braulio Alcides Ramirez Arroyo
• Ubaldino Ramirez de Arellano-Latoni, M.D.
• Ingrid J. Ramirez Diaz
• Ramirez Gynecology & Gynecologic Oncology P.S.C.

• Student in an Organized Health Care Education/Training Program in Ponce, PR
• Providers in Ponce, PR by specialty
• Student in an Organized Health Care Education/Training Program in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2023; 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.