GEORGETTE M. DE JESUS MD
NPI 1255528048
Psychiatry & Neurology - Child & Adolescent Psychiatry in San Juan, PR

Active since September 26, 2007Opted out of Medicare · through Jun 21, 2027
258 CALLE SAN JORGE, SUITE 203, SAN JUAN, PR 00912(787) 726-0184 Get Directions Write a Review

NPPES record last updated: October 14, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Georgette M. De Jesus Md NPPES

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

GEORGETTE M. DE JESUS MD (NPI 1255528048) is an individual child & adolescent psychiatry provider in San Juan, Puerto Rico, licensed in Puerto Rico (17576) and active in the NPI registry since September 2007. She has opted out of Medicare through June 21, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1255528048
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameGEORGETTE M. DE JESUSCredential: MD
Location Address258 CALLE SAN JORGE, SUITE 203San Juan, PR 00912
Mailing Address1418 Calle Wilson, Apt 203San Juan, PR 00907-2280 · (787) 726-0184
Sole ProprietorNo
Enumeration DateSeptember 26, 2007
Last NPPES UpdateOctober 14, 2009
NPI 1255528048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Licenses Licensed in PR · 17576 Licensed in NY · 244618
Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

258 CALLE SAN JORGE, San Juan, PR 00912

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Georgette M. De Jesus Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 21, 2021 through June 21, 2027.

Opt-Out Effective DateJune 21, 2021
Opt-Out In Effect ThroughJune 21, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
258 CALLE SAN JORGE
SAN JUAN, PR 00912
Radiology (Diagnostic Radiology)
258 CALLE SAN JORGE
SAN JUAN, PR 00912
Pediatrics (Sleep Medicine)
258 CALLE SAN JORGE, SAN JORGE MEDICAL BUILDING SUITE 205
SANTURCE, PR 00912
Anesthesiology
258 CALLE SAN JORGE
SAN JUAN, PR 00912
Pediatrics
258 CALLE SAN JORGE, HOSPITAL SAN JORGE
SANTURCE, PR 00912
General Practice
258 CALLE SAN JORGE, SUITE 205
SANTURCE, PR 00912
Pediatrics (Pediatric Critical Care Medicine)
258 CALLE SAN JORGE, OFICINA #406
SAN JUAN, PR 00912
Radiology (Diagnostic Radiology)
258 CALLE SAN JORGE
SAN JUAN, PR 00912

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 Georgette De Jesus's NPI number?

The NPI number for Georgette De Jesus is 1255528048. It was assigned to this individual provider in the NPPES registry on September 26, 2007.

Where is Georgette De Jesus located?

Georgette De Jesus practices at 258 Calle San Jorge Suite 203, San Juan, PR 00912. The listed phone number is (787) 726-0184.

What is Georgette De Jesus's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Georgette De Jesus enrolled in Medicare?

No. Georgette De Jesus has opted out of Medicare through June 21, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Georgette De Jesus was last updated on October 14, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.