Active NPIIndividual providerSole proprietor

Dr. Jesus D Buonomo, MD

Radiology, Vascular & Interventional Radiology in Caguas, Puerto Rico

NPI Number1306138342
Practice location
Carr 1 Km 33.3 Ralph'S Food Warehouse Local # 3, Viro, Caguas, PR 00725
Fax
787-421-7171
Last updated
February 3, 2025

Jesus Daniel Buonomo is a Radiology, Vascular & Interventional Radiology based in Caguas, PR. Jesus Daniel Buonomo practices in Caguas, PR and has the professional credentials of MD. The NPI Number for Jesus Daniel Buonomo is 1306138342 and holds a License No. 018440 (PR). The current practice location address for Jesus Daniel Buonomo is Carr 1 Km 33.3 Ralph'S Food Warehouse Local # 3, Viro, Caguas, PR 00725 and can be reached out via phone at 787-620-2100 and via fax at 787-421-7171.

Provider Profile Details

NPI Number
1306138342
Provider Name
Jesus Daniel Buonomo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
Carr 1 Km 33.3 Ralph'S Food Warehouse Local # 3, Viro, Caguas, PR 00725
Phone Number
787-620-2100
Fax Number
787-421-7171
Sole Proprietor
Yes
Provider Enumeration Date
May 10, 2011
Last Update Date
February 3, 2025
Certification Date
February 3, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
Carr 1 Km 33.3 Ralph'S Food Warehouse Local # 3
Viro
Caguas, PR 00725
City
Caguas
Zip
00725
Phone Number
787-620-2100
Fax Number
787-421-7171
Caguas, PR 00725Get directions →

Provider Business Mailing Address Details

Address
Po Box 11298
San Juan, PR 00922-1298
City
San Juan
State
PR
Zip
00922-1298
Phone Number
787-692-3364
Fax Number
787-705-8791

License Information

License Number (1)
018440
License State (1)
PR
Taxonomy (1)
· 2085N0904X
License Number (2)
018440
License State (2)
PR
Taxonomy (2)
Radiology, Diagnostic Radiology · 2085R0202X
License Number (3)
018440
License State (3)
PR
Taxonomy (3)
Radiology, Vascular & Interventional Radiology · 2085R0204X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jesus D Buonomo, MD?

The NPI number of Dr. Jesus D Buonomo, MD is 1306138342. It was assigned on May 10, 2011 and is currently active in the NPPES registry.

What is the specialty of Dr. Jesus D Buonomo, MD?

Dr. Jesus D Buonomo, MD is registered under the primary taxonomy Radiology, Vascular & Interventional Radiology (code 2085R0204X), licensed in PR under license number 018440.

Where does Dr. Jesus D Buonomo, MD practice?

The practice location is Carr 1 Km 33.3 Ralph'S Food Warehouse Local # 3, Viro, Caguas, PR 00725. The office can be reached at 787-620-2100 (phone) or 787-421-7171 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306138342 directly on the NPPES registry website.

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