Buonomo, Jesus Daniel

Buonomo, Jesus Daniel is an sole proprietor health care provider with primary practice located at Carr 1 Km 33.3 Ralph'S Food Warehouse Local # 3 Viro, Caguas PR 00725. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Buonomo, Jesus Daniel can be contacted via phone (787) 620-2100.

Contact Information

Primary practice address
Carr 1 Km 33.3 Ralph'S Food Warehouse Local # 3 Viro Caguas PR 00725
Phone: (787) 620-2100
Fax: (787) 421-7171
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X 018440 Puerto Rico
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 018440 Puerto Rico
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 018440 Puerto Rico

Profile Details

NPI number 1306138342
LBN Legal business name Buonomo, Jesus Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2011
Last updated Jul 31st, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306138342 NPPES
Puerto Rico MEDICAID 1457775959

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