Look up the most recent NPI and PECOS records

Angel B. Amadeo De Jesus

General Practice

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as ANGEL AMADEO DE JESUS.

Based on the most recent information from CMS, provider Angel B. Amadeo De Jesus is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1033868898
Provider Type
Individual
Full Name
Amadeo De Jesus, Angel B.
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
Yes
Enumeration Date
3/21/2022
Last Updated
6/26/2022

Contact Information

Practice Location

Villa Rosales G 15, Aibonito, PR 00705

(939) 478-6588

Unlisted Fax

Mailing Location

Villa Rosales G 15, Aibonito, PR 00705

(787) 310-2390

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208D00000X Primary	Description General Practice Allopathic & Osteopathic Physicians	License 022821 Puerto Rico
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Angel B. Amadeo De Jesus

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Arroyo Pagan, Ida Pauliza

Colon Martinez, Jorge V

Negroni Pedroza, Maria Milagros

Walker, Rolando

Ortiz Gonzalez, Marlacoral

Arroyo, Ana Ilvia

Carrillo Rodriguez, Edelmiro A

Gonzalez-Oliveras, Valeria Marie

Pacheco, Sixto A

Ramos Malave, Cristina Melisa