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NPI Code Detail

MEDICARE: MRS. FELICITA DEJESUS PSYD

MEDICARE: MRS. FELICITA DEJESUS PSYD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist2541PR

General Provider Information

NPI Number : 1467492439
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. FELICITA DEJESUS PSYD
Provider Business Mailing Address
First Line : PO BOX 1657
Second Line :
City : LAS PIEDRAS
State : PR
Zip : 00771-1657
Country : US
Telephone Number : 787-941-6683
Fax Number :
Provider Business Practice Location Address
First Line : CARRETERA 198 KM 24.2 BO. FERMINA
Second Line : SECTOR EL CUPEY
City : LAS PIEDRAS
State : PR
Zip : 00771-1657
Country : US
Telephone Number : 787-941-6683
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2006
Last Update Date : 03/20/2026

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