Individual provider Active NPI

Patricia De Jesus, M.D.

  • Neurology Physician
  • Caguas, PR
National Provider Identifier
1639379266
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
17963 Issued in PR
Practice address
500 Ave Degetau Hima Plaza I
Suite 308 Piso 3
Caguas, PR 00725-7303
Phone
(787) 474-7678
Fax
(787) 474-7680
NPI assigned
Jul 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 17963 PR Primary

Addresses

Primary practice location

500 Ave Degetau Hima Plaza I
Suite 308 Piso 3
Caguas, PR 00725-7303

Mailing address

500 Ave Degetau Hima Plaza I
Suite 308 Piso 3
Caguas, PR 00725-7303
Phone (787) 474-7678

Other practice location 1

100 Ave Luis Munoz Marin
Caguas, PR 00725-6184
Phone (787) 653-3763

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
I20120828000694 PR Practitioner - NeurologyPractitioner - Psychiatry 8022265909 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Psychiatry
Education
University of Puerto Rico School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Puerto Rico Multiple Sclerosis Center LLCGroup PAC ID 2163874512, 2 clinicians

Practice addresses (Care Compare)

500 Ave Degetau Hima Plaza I
Suite 308 Piso 3
Caguas, PR 00725-7303
Phone (787) 474-7678

Hima Plaza 1
Suite 308 311
Caguas, PR 00725-7303

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas CurrentSince Nov 18, 2012 Accepting new patients
Recinto de Ciencias Medicas Neurology CurrentSince Nov 18, 2012 Accepting new patients
Recinto de Ciencias Medicas Current Accepting new patients
Puerto Rico Multiple Sclerosis Center LLC Neurology CurrentSince Sep 1, 2024 Accepting new patients

Locations

500 Ave Degetau
Ste 308
Caguas, PR 00725
Phone (787) 474-7678

Organizations & group practices 4

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": "1185062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1639379266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 AVE DEGETAU HIMA PLAZA I",
            "address_2": "SUITE 308 PISO 3",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007257303",
            "telephone_number": "787-474-7678",
            "fax_number": "787-474-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 AVE DEGETAU HIMA PLAZA I",
            "address_2": "SUITE 308 PISO 3",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007257303",
            "telephone_number": "787-474-7678",
            "fax_number": "787-474-7680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Ave Luis Munoz Marin",
            "address_purpose": "LOCATION",
            "city": "Caguas",
            "state": "PR",
            "postal_code": "007256184",
            "country_code": "US",
            "telephone_number": "787-653-3763",
            "fax_number": "787-653-3767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE JESUS",
        "first_name": "PATRICIA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-22",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PR",
            "license": "17963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.