David M. Dejesus
Social Worker, Clinical in San Juan, PR. Individual provider (NPI-1).
NPI number1407453095
StatusActive
Last updated in NPPESOct 6, 2020
Details
- NPI
- 1407453095
- Entity type
- Individual (NPI-1)
- Name
- David M. Dejesus
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 6, 2020
- Certification date
- Oct 6, 2020
- Last updated
- Oct 6, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 23786 | PR | Yes |
Practice location
Ubr Perez Morris500 Calle Baez
San Juan, PR 00936-4189
Phone 787-719-5444
Mailing address
100 Calle NiloUbr Brisas Del Prado
Juncos, PR 00777-9400
Phone 787-590-6988
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 325 Clinical Social Worker providers in San Juan · All 12,122 providers in San Juan
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