GEORGETTE M. DE JESUS


Address: 258 Calle San Jorge, Suite 203, San Juan, PR 00912
Phone: 7877260184

GEORGETTE M. DE JESUS (NPI# 1255528048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255528048
Entity Type Individual
Full Name GEORGETTE M. DE JESUS
Credential MD
Practice Address 258 Calle San Jorge
Suite 203
San Juan
PR 00912
Mailing Address 1418 Calle Wilson
Apt 203
San Juan
PR 00907-2280
Practice Telephone 7877260184
Mailing Telephone 7877260184
Enumeration Date 2007-09-26
Last Update Date 2009-10-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0804X Psychiatry & Neurology
Specialization: Child & Adolescent Psychiatry
17576 PR Allopathic & Osteopathic Physicians
N 2084P0804X Psychiatry & Neurology
Specialization: Child & Adolescent Psychiatry
244618 NY Allopathic & Osteopathic Physicians

Office Location

Street Address 258 CALLE SAN JORGE
SUITE 203
City SAN JUAN
State PR
Zip Code 00912

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134122641 Luis Francisco Cordero Rodriguez Anesthesiology 258 Calle San Jorge, San Juan, PR 00912-3239 2005-05-31
1952947624 Lorena Berrios Caldero Pharmacist 258 Calle San Jorge, San Juan, PR 00912-0814 2019-11-18
1336606581 Radiologia San Jorge Radiology 258 Calle San Jorge, San Juan, PR 00912 2019-02-25
1649700535 Grupo Hospitalistas San Jorge Hospitalist 258 Calle San Jorge, San Juan, PR 00912 2017-06-14
1174984611 Trizia Isaac Registered Nurse 258 Calle San Jorge, San Juan, PR 00912 2016-03-11
1508248196 San Jorge General Pediatric Medical Group Clinic/Center 258 Calle San Jorge, San Juan, PR 00912 2015-06-19
1770716466 Sanet Torres-torres Pediatrics 258 Calle San Jorge, Santurce, San Juan, PR 00912 2009-08-27
1336335009 Hilda Sulema Diaz Pediatrics 258 Calle San Jorge, Oficina #406, San Juan, PR 00912 2007-09-17
1811022452 Carmen Irizarry-hernandez Psychologist 258 Calle San Jorge, Suite 204, San Juan, PR 00912-3239 2007-02-23
1053457630 Ivonne Marquez Valencia Radiology 258 Calle San Jorge, San Juan, PR 00912 2007-01-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548860869 Lismary Colon Matias Speech-Language Pathologist Avenida Ponce De Leon #1607, Cobian's Plaza Building, San Juan, PR 00912 2020-10-27
1972126258 Neuropedeegpr LLC Physiological Laboratory Calle San Jorge #258 San Jorge Medical Building Suite 3, Santurce, PR 00912 2020-05-21
1801415047 Racc Surgery #373 Calle San Jorge, Piso#2, Santurce, PR 00912 2020-04-08
1588299333 Yanelis Perez Pina Registered Nurse 1600 Ave De La Constitucion, San Juan, PR 00912 2020-03-11
1558919233 Aura Colon Rivera Psychologist Calle San Jorge, 258, San Juan, PR 00912 2019-08-27
1467923276 Zuleika Montanez Registered Nurse 1600 Avenida Juan Ponce De Leon, San Juan, PR 00912 2018-12-06
1528584232 Indhira M Rivas Psychologist 1551 Calle Victoria Santurce, San Juan, PR 00912 2017-08-15
1881146728 Sebastian Cambo Psychologist 1801 Ave Ponce De Leon Suite 411, Santurce Medical Mall, San Juan, PR 00912 2016-10-26
1528430816 Abner Martinez Pharmacist Calle Labra Esquina Corchado Parada 18, San Juan, PR 00912 2015-10-26
1609282300 Mariola Llinas Messeguer Obstetrics & Gynecology 252 San Jorge Medical Building, Suite 405, Santurce, PR 00912 2014-07-02
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Taxonomy Information

Taxonomy Code 2084P0804X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Child & Adolescent Psychiatry

Taxonomy 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.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982745113 Serafin Orengo Vega Psychiatry & Neurology 1007 Ave. Luis Munoz Rivera, Edif. Darlington Suite 1101, San Juan, PR 00926 2007-02-09
1831271279 Isabel M Rodriguez Psychiatry & Neurology Ave De Diegi #201, Plaza San Francisco Suite 107, San Juan, PR 00927-5825 2006-10-19
1265513287 Lourdes Barreras Psychiatry & Neurology 820 Calle 13 Sw, Caparra Terrace, San Juan, PR 00921-2015 2006-10-17
1275622284 Antonio Guillermo Sotomayor Psychiatry & Neurology Calle Maga H. Psiquiatrico Rio Pidras, Bo Monacillos, San Juan, PR 00922 2006-10-11
1821183476 Angela B Del Muro Psychiatry & Neurology 533b Ave Escorial, San Juan, PR 00920-4707 2006-10-03
1891805420 Annette L Pagan Psychiatry & Neurology Upr Medical Science Campus, Dept of Psychiatry, San Juan, PR 00926 2006-08-30
1811904642 Angela Maldonado-marty Psychiatry & Neurology 9415 Ave Los Romeros, Pbm 503, San Juan, PR 00926-7001 2006-08-02
1770535684 Janira Nazario Psychiatry & Neurology 203 Calle Sorbona, University Gardens, San Juan, PR 00927-4840 2006-05-17
1972579084 Osvaldo G. De La Luz Sr. Psychiatry & Neurology 89 Ave De Diego, Ste. 105, San Juan, PR 00927-6372 2006-02-28
1740694595 Stephanie Milmar Aguilar Psychiatry & Neurology Upr School of Medicine Psychiatry Department, Bo. Monacillos, Puerto Rico Medical Center, San Juan, PR 00935-0001 2014-06-19
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Competitor

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City SAN JUAN
Zip Code 00912

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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