Organization
DE JESUS & MATOS MEDICAL IMAGING PROFESSIONALS, PSC
Active
Organization
DE JESUS & MATOS MEDICAL IMAGING PROFESSIONALS, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICARDO DE JESUS GOMEZ M.D. (PRESIDENT)
(787) 785-8034
Entity
Organization
Contact information
Practice address
CARRETERA 2 KM 11.7, BAYAMON, PR 00959-0000
(787) 620-8181
Mailing address
PO BOX 3049, BAYAMON, PR 00960-3049
(787) 785-8034
(787) 787-8029
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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