Luis Angel De Jesus Sanchez, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1710 Issued in PR

Practice address

1807 Paseo Las Colonias
Urbanizacion Constancia
Ponce, PR 00717-2235

Phone

(787) 841-0505

Fax

(787) 284-0505

NPI assigned

Jul 8, 2005

Sex

Male

Sole proprietor

Yes

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

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381968000000",
    "number": "1760480313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URBANIZACION CONSTANCIA",
            "address_2": "1807 PASEO LAS COLONIAS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172235",
            "telephone_number": "787-841-0505",
            "fax_number": "787-284-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 PASEO LAS COLONIAS",
            "address_2": "URBANIZACION CONSTANCIA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172235",
            "telephone_number": "787-841-0505",
            "fax_number": "787-284-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JESUS SANCHEZ",
        "first_name": "LUIS",
        "middle_name": "ANGEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2013-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriel De Jesus Astacio
• Yesenia Noemi De Jesus Lopez
• Angelica Cristina De Jesus Mieres
• Ricardo Javier De Jesus Rodriguez
• Tomas De Jesus Roman, M.D.
• Jessica De Jesus-Gonzalez, CPHT
• Ariana De Jesus
• Carlos I. De Jesus, MD
• Herbert De Jesus, O.D.
• Irian De Jesus, RPH,PHARM.D

• General Practice Dentistry in Ponce, PR
• Providers in Ponce, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; 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.