Individual
DR. JESUS DANIEL BUONOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
CARR 1 KM 33.3 RALPH'S FOOD WAREHOUSE LOCAL # 3, VIRO, CAGUAS, PR 00725
(787) 620-2100
(787) 421-7171
Mailing address
PO BOX 11298, SAN JUAN, PR 00922-1298
(787) 692-3364
(787) 705-8791
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
018440
PR
2085R0202X
Diagnostic Radiology Physician
018440
PR
2085R0204X
Vascular & Interventional Radiology Physician
Primary
018440
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457775959
—
PR
Enumeration date
05/10/2011
Last updated
02/03/2025
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