Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114948874 Individual Practitioner Male Practitioner

Dr. Jose Miguel De Jesus , MD, OD

General Practice • San Juan, PR

Professional Overview & Biography Verified Profile Summary

Dr. Jose De Jesus, MD, OD is a registered healthcare professional specializing in General Practice in San Juan, PR. Practice services are available at 1341 CALLE ALDEA APT TH1 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1341 Calle Aldea Apt Th1

San Juan, PR 009072320

Telephone 7879053772
Associated Practice Facility / Clinic
🏢 Primary Health Llc Facility NPI 1235837527

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in San Juan, PR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.1 Yrs
State Avg: 25.4 Yrs
Regional Practice Density
656 Specialists

Practicing in San Juan, PR (4449 Statewide)

Telehealth Adoption Rate
0.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-10-25
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License PR 21104

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License PR 194

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License PR 21104

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

18 Historical Events
📍
Updated Practice Location October 25, 2021

Registered at 1341 CALLE ALDEA APT TH1, SAN JUAN, PR 009072320 (Tel: 7879053772)

👤
Provider Name / Credentials Updated October 25, 2021

Recorded as JOSE DE JESUS, MD, OD

📍
Updated Practice Location January 28, 2020

Registered at 7500 SW 8TH ST, MIAMI, FL 331444400 (Tel: 3055340076)

👤
Provider Name / Credentials Updated August 22, 2019

Recorded as JOSE DE JESUS MIRANDA, MD, OD

👤
Provider Name / Credentials Updated October 09, 2018

Recorded as JOSE DEJESUS MIRANDA, OD, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2018

Optometrist (License #194 in PR)

NPI Profile Active May 10, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 10, 2017

Registered at 273 SIERRA MORENA, 181 PB LA CUMBRE, SAN JUAN, PR 009260181 (Tel: 7879053772)

📍
Updated Business Mailing Address May 10, 2017

Registered at 273 SIERRA MORENA, 181 PB LA CUMBRE, SAN JUAN, PR 009260001 (Tel: 7879053772)

👤
Provider Name / Credentials Updated May 10, 2017

Recorded as JOSE DEJESUS MIRANDA, OD,MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2017

Optometrist (License #4341 in MA)

👤
Provider Name / Credentials Updated March 28, 2017

Recorded as JOSE DEJESUS MIRANDA, OD

NPI Profile Active February 27, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location February 27, 2008

Registered at PMB 181 LA CUMBRE, 273 SIERRA MORENA, SAN JUAN, PR 009260181 (Tel: 7877085838)

📍
Updated Business Mailing Address February 27, 2008

Registered at 271 EMILIANO POL, LA CUMBRE, SAN JUAN, PR 009260001 (Tel: 7877055838)

👤
Provider Name / Credentials Updated February 27, 2008

Recorded as JOSE DEJESUS, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2008

Optometrist (License #4341 in MA)

🟢
Initial NPI Registration & Enumeration July 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114948874
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 21, 2006
Last Update: October 25, 2021
Sole Proprietor: Yes

Mailing Address

273 Sierra Morena, 181 Pb La Cumbre

San Juan, PR 009260001

Phone: 7879053772

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.