David M. Dejesus

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

23786 Issued in PR

Practice address

Ubr Perez Morris
500 Calle Baez
San Juan, PR 00936-4189

Phone

(787) 719-5444

NPI assigned

Oct 6, 2020

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Sociedad de Educacion Y Rehabilitacion Ser de Puerto Rico Inc

  • Physical Medicine & Rehabilitation Physician
  • San Juan, PR
  • NPI 1356388532

  Single Specialty

  NPD

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1407453095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CALLE NILO",
            "address_2": "UBR BRISAS DEL PRADO",
            "city": "JUNCOS",
            "state": "PR",
            "postal_code": "007779400",
            "telephone_number": "787-590-6988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UBR PEREZ MORRIS",
            "address_2": "500 CALLE BAEZ",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009364189",
            "telephone_number": "787-719-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJESUS",
        "first_name": "DAVID",
        "middle_name": "M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "23786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0080028922292",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabriel De Zayas Rodriguez, PHD
• Wanda L Decardona, PSYD
• Maria C. Declet, PHD
• Angel J Defendini-Corretjer, M. D.
• Ana Maria Defendini, D.M.D.
• Alan Del Castillo, M.D.
• Adriana Del Llano Torres, DMD
• Yelissa Del Moral Lebron, M
• Angela B Del Muro, MD
• Francisco Jose Del Olmo Arroyo, MD

• Clinical Social Worker in San Juan, PR
• Providers in San Juan, PR by specialty
• Clinical Social Worker in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.