Individual provider Active NPI

William Julio de Jesus, MD

  • Geriatric Psychiatry Physician
  • Bayamon, PR
National Provider Identifier
1871578997
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
14745 Issued in PR
Practice address
73 Calle Santa Cruz
Suite 212
Bayamon, PR 00961-6910
Phone
(787) 798-4592
Fax
(787) 798-8236
NPI assigned
Dec 12, 2005
Last updated
Jan 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 14745 PR
Geriatric Psychiatry Physician 2084P0805X 14745 PR Primary

Addresses

Primary practice location

73 Calle Santa Cruz
Suite 212
Bayamon, PR 00961-6910

Mailing address

PO Box 8129
Bayamon, PR 00960-8129
Phone (787) 798-4592

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
I20040629000418 PR Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 4789668336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
University Central del Caribe Escuela de Medicina, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Santa Cruz Behavioral PSCGroup PAC ID 4688705619, 4 clinicians

Practice addresses (Care Compare)

73 Calle Santa Cruz
Suite 212
Bayamon, PR 00961
Phone (787) 798-4592

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Cruz Behavioral PSC Psychiatry CurrentSince Apr 25, 2010 Accepting new patients
Aps Clinics of Puerto Rico, Inc. Psychiatry Past Accepting new patients
LMC Physician Services, PC Psychiatry Past Accepting new patients
Sylma Batista MD PSC Geriatric Psychiatry PastSince Apr 25, 2010 Accepting new patients

Locations

73 Calle Santa Cruz
Ste 212
Bayamon, PR 00961
Phone (787) 798-2170

73 Calle Santa Cruz
Ste 416
Bayamon, PR 00961
Phone (787) 786-7460

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1134345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1871578997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8129",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009608129",
            "telephone_number": "787-798-4592",
            "fax_number": "787-798-8236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 CALLE SANTA CRUZ",
            "address_2": "SUITE 212",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616910",
            "telephone_number": "787-798-4592",
            "fax_number": "787-798-8236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JULIO DE JESUS",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-12",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "14745",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "PR",
            "license": "14745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.