Pedro De Jesus I

Primary specialty

Radiologic TechnologistTaxonomy code 247100000X

License

1065 Issued in PR

Practice address

Street 8 Urb.Villa Sauri
M-16
Caguas, PR 00725

Phone

(787) 531-9518

NPI assigned

May 4, 2007

Sex

Male

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

Practice roles

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.

• Radiology Home Services

  • Mobile Radiology Clinic/Center
  • Caguas, PR
  • NPI 1396599601
  NPD Authorized official
• Home Images, PSC.

  • Radiologic Technologist
  • Trujillo Alto, PR
  • NPI 1629250923
  NPD

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366654097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MCS 1344 HC-4",
            "address_2": "BOX 44374",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007279606",
            "telephone_number": "787-531-9518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STREET 8 URB.VILLA SAURI",
            "address_2": "M-16",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-531-9518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JESUS",
        "first_name": "PEDRO",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "PR",
            "license": "1065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irma I De Jesus Rivera, M.A. PSY
• Adriana De Jesus Rosado
• Evelyn De Jesus Torres, MPT
• Luis Alfredo De Jesus Vargas, M.D.
• Patricia De Jesus, M.D.
• Victor Alexis De Jesus
• Victor Jose De Jesus, MD
• Yarelis De Jesus, MSW
• Cristina M De la Cruz, MSW
• Edna Cristina De la Cruz, PSY.D

• Radiologic Technologist in Caguas, PR
• Providers in Caguas, PR by specialty
• Radiologic Technologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.