# VASCULAR INTERVENTIONAL RADIOLOGY & ONCOLOGY, PSC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** VIRO PSC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457775959
- **Authorized official:** DR. JESUS DANIEL BUONOMO MD (OWNER)
- **Authorized official phone:** (787) 586-3371

## Contact information

- **Practice address:** ROAD 14 KM 72.2 BO RINCON SECTOR LAS LOMAS, HOSPITAL MENONITA CAYEY, CAYEY, PR 00737
- **Practice address phone:** (787) 469-3796
- **Mailing address:** PO BOX 748, GURABO, PR 00778-0748
- **Mailing address phone:** (787) 469-3796

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085N0904X | Nuclear Radiology Physician | 18440 | PR | — |
| 2085R0202X | Diagnostic Radiology Physician | 018440 | PR | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | 18440 | PR | Yes |

## Other

- **Enumeration date:** 02/05/2014
- **Last updated:** 10/23/2014