Myrna Enith Dejesus, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

8868 Issued in PR

Practice address

X2 Ave Munoz Marin
Caguas, PR 00725-6431

Phone

(787) 746-4610

Fax

(787) 745-4030

NPI assigned

Aug 2, 2006

Sex

Female

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Perez Palmer de Jesus

  • Physical Therapy Clinic/Center
  • Caguas, PR
  • NPI 1326268251
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1639186547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 304",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009700304",
            "telephone_number": "787-746-4610",
            "fax_number": "787-745-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "X2 AVE MUNOZ MARIN",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007256431",
            "telephone_number": "787-746-4610",
            "fax_number": "787-745-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJESUS",
        "first_name": "MYRNA",
        "middle_name": "ENITH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "8868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PR LICENSE",
            "identifier": "8868",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emanuel A De Miranda-Sanchez, MD, MSMS
• Stephanie Marie De Miranda, DC
• Iris Teany De Oleo Rodriguez, PSYD
• Miguel A De Varona Negron, M.D.
• Roberto R. De Varona, M.D.
• Rafael Armando Del Rio Lopez
• Maria C Del Rosario-Guzman, MD
• Ivan Eugenio Del Toro Martinez, M.D., F.A.C.O.G.
• Ana Laura Del Toro, PHARM.D
• Del Valle Auto Citas Inc.

• General Practice Physician in Caguas, PR
• Providers in Caguas, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.