Dr Jose Miguel De Jesus, MD, OD is a medicare enrolled "General Practice" provider in San Juan, Puerto Rico. His current practice location is
1341 Calle Aldea Apt Th1, San Juan, Puerto Rico. You can reach out to his office (for appointments etc.) via phone at
(787) 905-3772.
Dr Jose Miguel De Jesus is licensed to practice in Puerto Rico (license number 21104) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1114948874.
Healthcare Provider's Profile
| Full Name | Dr Jose Miguel De Jesus |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 1341 Calle Aldea Apt Th1, San Juan, Puerto Rico |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1114948874
- Provider Enumeration Date: 07/21/2006
- Last Update Date: 10/25/2021
Medicare PECOS Information:
- PECOS PAC ID: 4183528367
- Enrollment ID: I20080617000420
Medical Identifiers
Medical identifiers for Dr Jose Miguel De Jesus such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1114948874 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 152W00000X | Optometrist | 194 (Puerto Rico) | Secondary |
| 207P00000X | Emergency Medicine | 21104 (Puerto Rico) | Secondary |
| 208D00000X | General Practice | 21104 (Puerto Rico) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jose Miguel De Jesus is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Jose Miguel De Jesus, MD, OD 273 Sierra Morena, 181 Pb La Cumbre, San Juan, PR 00926-0001 Ph: (787) 905-3772 | Dr Jose Miguel De Jesus, MD, OD 1341 Calle Aldea Apt Th1, San Juan, PR 00907-2320 Ph: (787) 905-3772 |
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