Jorge R De Jesus Miranda, MD

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

6045 Issued in PR

Practice address

572 Calle de Diego
Sabana Llana
San Juan, PR 00924-3815

Phone

(787) 754-9586

Fax

(787) 754-9589

NPI assigned

Oct 10, 2006

Last updated

Apr 25, 2019By the provider in NPPES

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

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal MedicineAlso: Endocrinology

Education

University of Puerto Rico School of Medicine, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Corredor Azul Integral LLCGroup PAC ID 0749700888, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Corredor Azul Integral LLC

  dba A1 Clinic

  • Multi-Specialty Clinic/Center
  • Bayamon, PR
  • NPI 1346097672

  Endocrinology, Diabetes & Metabolism

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556150400000",
    "number": "1376630202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CALLE 1",
            "address_2": "EXT. ALTURAS DE SAN PATRICIO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009683128",
            "telephone_number": "787-754-9586",
            "fax_number": "787-754-9589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 CALLE DE DIEGO",
            "address_2": "SABANA LLANA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009243815",
            "telephone_number": "787-754-9586",
            "fax_number": "787-754-9589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JESUS MIRANDA",
        "first_name": "JORGE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2019-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PR",
            "license": "6045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Siulmary Luisa De Jesus Caban, FNP-C
• Lorna L. De Jesus Cartagena
• Isaias De Jesus Concepcion
• Paola De Jesus Martinez
• Jose R De Jesus Melendez, MD
• Nelson De Jesus Ramos, M.D.
• Carmen C De Jesus Rivera, MD
• Edgar Alexis De Jesus Rodriguez, MD
• Evony Coral De Jesus Santa
• Ileana De Jesus Santiago, PH.D.

• Endocrinology, Diabetes & Metabolism Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Endocrinology, Diabetes & Metabolism Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.