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DR. MYRNA ENITH DEJESUS MD
NPI 1639186547
General Practice in Caguas, PR

Active since August 02, 2006PECOS Enrolled
X2 AVE MUNOZ MARIN, CAGUAS, PR 00725(787) 746-4610(787) 745-4030 Get Directions Write a Review

NPPES record last updated: October 11, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Myrna Enith Dejesus Md NPPES

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

DR. MYRNA ENITH DEJESUS MD (NPI 1639186547) is an individual general practice provider in Caguas, Puerto Rico, licensed in Puerto Rico (8868) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639186547
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. MYRNA ENITH DEJESUSCredential: MD
Location AddressX2 AVE MUNOZ MARINCaguas, PR 00725-6431
Mailing AddressPo Box 304Guaynabo, PR 00970-0304 · (787) 746-4610 · Fax (787) 745-4030
Phone(787) 746-4610
Fax(787) 745-4030
Sole ProprietorNo
Enumeration DateAugust 2, 2006
Last NPPES UpdateOctober 11, 2012
✔ NPI 1639186547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PR · 8868
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
X2 AVE MUNOZ MARIN, Caguas, PR 00725
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Other Identifiers 3

Other8868PR · Pr License
Medicare ID-Type Unspecified84312PR
Medicare UPINF95025

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. Myrna Enith Dejesus Md 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 Myrna Dejesus's NPI number?

The NPI number for Myrna Dejesus is 1639186547. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Myrna Dejesus located?

Myrna Dejesus practices at X2 Ave Munoz Marin, Caguas, PR 00725. The listed phone number is (787) 746-4610.

What is Myrna Dejesus's specialty?

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

Is Myrna Dejesus enrolled in Medicare?

Yes. Myrna Dejesus is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Myrna Dejesus was last updated on October 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.