Active NPI
Manuel F De Jesus
- Clinical Social Worker
- Florida, PR
National Provider Identifier
1689225385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4051
- Practice address
- Calle Arizmendi
Florida, PR 00650 - Phone
- (787) 822-3427
- NPI assigned
- Sep 24, 2019
- Last updated
- Sep 24, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4051 | PR | Primary |
Addresses
Primary practice location
Calle Arizmendi
Florida, PR 00650
Mailing address
17 Calle Ana Maria
Camuy, PR 00627-2821
Phone (787) 627-8664
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4051 | PR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569283200000",
"number": "1689225385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 CALLE ANA MARIA",
"city": "CAMUY",
"state": "PR",
"postal_code": "006272821",
"telephone_number": "787-627-8664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE ARIZMENDI",
"city": "FLORIDA",
"state": "PR",
"postal_code": "00650",
"telephone_number": "787-822-3427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE JESUS",
"first_name": "MANUEL",
"middle_name": "F",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-24",
"last_updated": "2019-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PR",
"license": "4051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florida, PR
- Centro de Servicios Primarios de Salud,Inc.
- Centro de Servicios Primarios de Salud,Inc.
- Centro Vacunacion Ipa 021
- Clinica de Medicina Especializada C.S.P.
- Continental Emergency Medical
- Abdias Joel De la Rosa Serrano, MD
- Coraliz Diaz, MD
- Eloi Physical Therapy PSC
- Farmacia CDT Policlinica Familiar Florida
- Farmacia CDT Policlinica Familiar Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.