Individual provider Active NPI

Orlando De Jesus

  • Neurological Surgery Physician
  • San Juan, PR
National Provider Identifier
1477527729
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
11639 Issued in PR
Practice address
Centro Medico de Puerto Rico
Recinto de Ciencias Medicas Seccion Neurocirugia
San Juan, PR 00936
Phone
(787) 765-8276
NPI assigned
Feb 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 11639 PR Primary

Addresses

Primary practice location

Centro Medico de Puerto Rico
Recinto de Ciencias Medicas Seccion Neurocirugia
San Juan, PR 00936

Mailing address

241 Calle Violeta
Urb. San Francisco
San Juan, PR 00927-6223
Phone (787) 764-9929

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101110000634 PR Practitioner - Neurosurgery 3779778295 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Puerto Rico School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recinto de Ciencias MedicasGroup PAC ID 3678469962, 246 clinicians

Practice addresses (Care Compare)

Ste 200 Centro Comercial Reparto
Ave Americo Miranda
Rio Piedras, PR 00921-2843
Phone (787) 474-2947

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas CurrentSince Oct 1, 1984 Accepting new patients
Recinto de Ciencias Medicas Neurological Surgery CurrentSince Oct 1, 1984 Accepting new patients

Locations

Centro Medico
San Juan, PR 00935
Phone (787) 560-2098

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364342400000",
    "number": "1477527729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 CALLE VIOLETA",
            "address_2": "URB. SAN FRANCISCO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009276223",
            "telephone_number": "787-764-9929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO MEDICO DE PUERTO RICO",
            "address_2": "RECINTO DE CIENCIAS MEDICAS SECCION NEUROCIRUGIA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00936",
            "telephone_number": "787-765-8276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JESUS",
        "first_name": "ORLANDO",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2013-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "PR",
            "license": "11639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.