Virgen Socorro De Jesus

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

83254 Issued in PR

Practice address

Carretera 185 KM 4.6 Canovanas PR 00729
4.6 KM
Canovanas, PR 00729

Phone

(787) 453-9188

NPI assigned

Aug 2, 2022

Last updated

Aug 2, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Virgen Socorro De Jesus Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1851028708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EE5 CALLE 23",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007254091",
            "telephone_number": "787-453-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 185 KM 4.6 CANOVANAS PR 00729",
            "address_2": "4.6 KM",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "00729",
            "telephone_number": "787-453-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JESUS",
        "first_name": "VIRGEN",
        "middle_name": "SOCORRO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PR",
            "license": "83254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "83254",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE REGISTER",
            "identifier": "83254",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIRGEN",
            "last_name": "DE JESUS",
            "middle_name": "SOCORRO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jesamil Cruz Maldonado, CRNA
• Karen Y Cruz, LIC
• Yeilin Cruz, BS
• Ellymarie Davila, MS
• Rafael Angel De Jesus Ayala
• Vanessa Ideliza De la Cruz Arrendel, PHARMACIST TECH
• Noelia De Pena Figaro Sr., MA
• Ronald Delgado - Matos, MD
• Ismari Delgado Espada, LND, ED, ENP-PR
• Rebecca Delgado, M.D.

• Registered Nurse in Canovanas, PR
• Providers in Canovanas, PR by specialty
• Registered Nurse in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.