Luis Guillermo De Jesus III Vega, MD

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

003239 Issued in PR

Practice address

81-37 Calle 68
Bayamon, PR 00961-4522

Phone

(939) 401-4401

NPI assigned

Oct 5, 2026

Last updated

Oct 5, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1791158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791158400000",
    "number": "1497659502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 AVE CAMPOBELLO",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007391579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81-37 CALLE 68",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009614522",
            "telephone_number": "939-401-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JESUS III VEGA",
        "first_name": "LUIS",
        "middle_name": "GUILLERMO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PR",
            "license": "003239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• De Jesus & Matos Medical Imaging Professionals, P.S.C.
• De Jesus & Matos Medical Imaging Professionals, PSC
• Melissa Enid De Jesus Cabrera, MD
• Brian Iran De Jesus Dipre, MD
• Ricardo De Jesus Gomez, M.D.
• Tania Marie De Jesus Laboy, CD, CBE
• Zuleika De Jesus Rodriguez
• Kevin De Jesus Rosa, PHARMD
• Orlando Emanuel De Jesus Rosario, PSYD
• Michael Gabriel De Jesus Soto

• Physician Assistant in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Physician Assistant in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.