Jesus Daniel Buonomo, M.D.

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

018440 Issued in PR

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

NPI assigned

May 10, 2011

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Diagnostic RadiologyAlso: Interventional Radiology, Nuclear Medicine, Pain Management, Peripheral Vascular Disease

Education

Ponce School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dla Imaging LLCGroup PAC ID 4981986015, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospital Pavia Caguas Hospital, Caguas, PR, CCN 400120
• Metropolitan Hospital Hospital, San Juan, PR, CCN 400106

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sjcbuonomo@yourcarecommunity.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vascular Interventional Radiology & Oncology, PSC

  • Vascular & Interventional Radiology Physician
  • Cayey, PR
  • NPI 1457775959

  Nuclear Radiology, PR

  Medicare reassignment NPD Authorized official
• Dla Imaging LLC

  • Diagnostic Radiology Physician
  • Guaynabo, PR
  • NPI 1366890311

  PR

  Medicare reassignment Care Compare group
• Aguadilla Medical Services, Inc.

  • Clinic/Center
  • Aguadilla, PR
  • NPI 1588637789

  PR

  Medicare reassignment NPD
• Caribe Physicians Plaza Corporation

  • General Acute Care Hospital
  • Fajardo, PR
  • NPI 1215051404

  PR

  Medicare reassignment NPD
• Concilio de Salud Integral de Loiza, Inc.

  • Federally Qualified Health Center (FQHC)
  • Loiza, PR
  • NPI 1558664102

  Diagnostic Radiology, PR

  Medicare reassignment NPD
• Ecoimagenes de Puerto Rico, Corp.

  • Radiologic Technologist
  • Isabela, PR
  • NPI 1548572555

  Diagnostic Radiology, PR

  Medicare reassignment NPD
• Fajardo Integrated Medical Center

  • General Acute Care Hospital
  • Fajardo, PR
  • NPI 1962280131

  PR

  Medicare reassignment NPD
• Guaynabo Radiology, LLC

  • Radiology Clinic/Center
  • Guaynabo, PR
  • NPI 1659858017

  PR

  Medicare reassignment NPD
• Insight Management Group Inc

  • Radiology Clinic/Center
  • Aguadilla, PR
  • NPI 1891722989

  Diagnostic Radiology, PR

  Medicare reassignment NPD
• Med Centro, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ponce, PR
  • NPI 1295727147

  PR

  Medicare reassignment NPD
• Salud Integral En la Montana, Inc

  • Federally Qualified Health Center (FQHC)
  • Corozal, PR
  • NPI 1184647851

  PR

  Medicare reassignment NPD
• Salud Integral En la Montana, Inc

  • Federally Qualified Health Center (FQHC)
  • Comerio, PR
  • NPI 1275556946

  PR

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Metro Caguas Incorporated

  • General Acute Care Hospital
  • Caguas, PR
  • NPI 1467234039

  Hospital

  Care Compare affiliation
• Metrohealth, Inc.

  • General Acute Care Hospital
  • San Juan, PR
  • NPI 1275580763

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1306138342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11298",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009221298",
            "telephone_number": "787-692-3364",
            "fax_number": "787-705-8791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 1 KM 33.3 RALPH'S FOOD WAREHOUSE LOCAL # 3",
            "address_2": "VIRO",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-620-2100",
            "fax_number": "787-421-7171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Hospital HIMA San Pablo",
            "address_2": "Calle Santa Cruz #70",
            "address_purpose": "LOCATION",
            "city": "Bayamon",
            "state": "PR",
            "postal_code": "00961",
            "country_code": "US",
            "telephone_number": "787-620-4747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUONOMO",
        "first_name": "JESUS",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-10",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "PR",
            "license": "018440",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "018440",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "PR",
            "license": "018440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457775959",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yocasta Brugal, M.D.
• Harry Brugman Mercado, PHD
• Lisandra Brunell del Valle, PSY D
• Jose Luis Bruno, M.D.
• Buhler Pathology Laboratories,Inc
• Axel Javier Burgos Collazo Sr., LMT
• Lidynell Marie Burgos Martinez
• Nilsa Ivelisse Burgos Rivera
• Carmen Luisa Burgos, RPH
• Jose Ramon Burgos, DMD

• All providers in Caguas, PR
• Vascular & Interventional Radiology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.