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Contact Information

JESUS D BUONOMO, MD
CARR 1 KM 33.3 RALPH'S FOOD WAREHOUSE LOCAL # 3
VIRO
CAGUAS, PR00725
 Phone: 787-620-2100
 Fax: 787-421-7171
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Nuclear Radiology

2085N0904X
Indicates primary specialty

NPI Profile & details for JESUS D BUONOMO · (Male)

NPI Number 1306138342
Status Active
Credentials MD
Entity Individual
Enumeration date 05/10/2011
Last updated 02/03/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • PR License # 018440
  • PR Medicaid 1457775959
Hospital affiliation(s)
  • BELLA VISTA HOSPITAL - (Acute Care)
    CARR 349 KM 2 7 CERRO LAS MESAS
    MAYAGUEZ, PR 00681
  • HOSPITAL HIMA-SAN PABLO BAYAMON - (Acute Care)
    CALLE SANTA CRUZ NUMERO 70 URB SANTA CRUZ
    BAYAMON, PR 00961
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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