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DR. JOSE MIGUEL DE JESUS MD, OD
NPI 1114948874
General Practice in San Juan, PR

Active since July 21, 2006PECOS Enrolled
1341 CALLE ALDEA APT TH1, SAN JUAN, PR 00907(787) 905-3772 Get Directions Write a Review

NPPES record last updated: October 25, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 28, 2020, Aug 22, 2019, Nov 27, 2018 and 3 more (6 updates tracked since 2017).

About Dr. Jose Miguel De Jesus Md, Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOSE MIGUEL DE JESUS MD, OD (NPI 1114948874) is an individual general practice provider in San Juan, Puerto Rico, licensed in Puerto Rico (21104) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114948874
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. JOSE MIGUEL DE JESUSCredential: MD, OD
Location Address1341 CALLE ALDEA APT TH1San Juan, PR 00907-2320
Mailing Address273 Sierra Morena, 181 Pb La CumbreSan Juan, PR 00926-0001 · (787) 905-3772 · Fax (787) 705-5838
Phone(787) 905-3772
Sole ProprietorYes
Enumeration DateJuly 21, 2006
Last NPPES UpdateOctober 25, 20216 updates tracked since enumeration
NPPES CertifiedOctober 25, 2021
✔ NPI 1114948874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PR · 21104
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedOptometristTaxonomy 152W00000X · License 194 (PR)
Also ListedEmergency MedicineTaxonomy 207P00000X · License 21104 (PR)

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jose Miguel De Jesus Md, Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jose De Jesus's NPI number?

The NPI number for Jose De Jesus is 1114948874. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Jose De Jesus located?

Jose De Jesus practices at 1341 Calle Aldea Apt Th1, San Juan, PR 00907. The listed phone number is (787) 905-3772.

What is Jose De Jesus's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Jose De Jesus enrolled in Medicare?

Yes. Jose De Jesus is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jose De Jesus was last updated on October 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.