Vascular Interventional Radiology & Oncology, PSC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

18440 Issued in PR

Legal business name

VASCULAR INTERVENTIONAL RADIOLOGY & ONCOLOGY, PSC

Practice address

Road 14 KM 72.2 Bo Rincon Sector Las Lomas
Hospital Menonita Cayey
Cayey, PR 00737

Phone

(787) 469-3796

NPI assigned

Feb 5, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jesus Daniel Buonomo, MDNPI 1306138342

Title

Owner

Phone

(787) 586-3371

Specialties & licenses 3

Addresses

Other names 1

• VIRO PSC Former legal business name

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jesus Daniel Buonomo, M.D.

  • Vascular & Interventional Radiology Physician
  • Caguas, PR
  • NPI 1306138342

  Nuclear Radiology

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1457775959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007780748",
            "telephone_number": "787-469-3796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROAD 14 KM 72.2 BO RINCON SECTOR LAS LOMAS",
            "address_2": "HOSPITAL MENONITA CAYEY",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "00737",
            "telephone_number": "787-469-3796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR INTERVENTIONAL RADIOLOGY & ONCOLOGY, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-05",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "BUONOMO",
        "authorized_official_first_name": "JESUS",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-586-3371",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Nuclear Radiology",
            "state": "PR",
            "license": "18440",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "018440",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "PR",
            "license": "18440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIRO PSC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Vaccine Provider LLC
• Eliezer Vargas Perez
• Roberto Jesus Vargas Rios
• Yanira Vargas-Aponte
• Vascular Institute of Puerto Rico LLC
• Francisco J. Vazquez Reillo, M.D.
• Nydia R Vazquez Rivera, M.P.C.P.
• Fabiola Z Vazquez Torres, MA
• Amanda Michelle Vazquez Valentin
• Enrique D Vazquez, MD,MBA

• Vascular & Interventional Radiology Physician in Cayey, PR
• Providers in Cayey, PR by specialty
• Vascular & Interventional Radiology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.