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Organization

VASCULAR INTERVENTIONAL RADIOLOGY & ONCOLOGY, PSC

Active
Other names
VIRO PSC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JESUS DANIEL BUONOMO MD (OWNER)
(787) 586-3371
Entity
Organization

Contact information

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

Taxonomy

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

Other

Enumeration date
02/05/2014
Last updated
10/23/2014
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