NPIMap

Individual provider Active NPI

Luzmarie Buonomo, M.D.

  • Diagnostic Radiology Physician
  • Delray Beach, FL
National Provider Identifier
1629192018
Registry record updated Apr 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
12859 Issued in PR
Practice address
815 Eastview Ave
Delray Beach, FL 33483-5968
Phone
(561) 303-1282
NPI assigned
Mar 19, 2007
Last updated
Apr 19, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 12859 PR Primary

Addresses

Primary practice location

815 Eastview Ave
Delray Beach, FL 33483-5968

Mailing address

815 Eastview Ave
Delray Beach, FL 33483-5968
Phone (561) 303-1282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PR2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090212000249 FL Practitioner - Diagnostic Radiology 9133284813 Practice locations: Coconut Creek, FL; Fort Lauderdale, FL; Pembroke Pines, FL
I20160113001771 PR Practitioner - Diagnostic Radiology 9133284813 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Menonita Ponce, IncGroup PAC ID 1759753668, 4 clinicians
Mennonite General Hospital IncGroup PAC ID 6709843964, 47 clinicians

Practice addresses (Care Compare)

10 Calle
Suite 1
Ponce, PR 00730-2307
Phone (787) 434-1700

Calle Jose C Vazquez
Barrio Caonillas
Aibonito, PR 00705-1379
Phone (787) 434-1700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12859PRMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mennonite General Hospital Inc. CurrentSince Dec 1, 2015 Accepting new patients
Hospital Menonita de Cayey Diagnostic Radiology CurrentSince Nov 1, 2019 Accepting new patients
Hospital Menonita Caguas Inc Diagnostic Radiology CurrentSince Jun 10, 2024 Accepting new patients
Clinica Las Americas Guaynabo, Inc Diagnostic Radiology CurrentSince Mar 1, 2020 Accepting new patients
Hospital Menonita Ponce Inc Diagnostic Radiology CurrentSince Mar 7, 2023 Accepting new patients
Clinica Las Americas Guaynabo, Inc CurrentSince Mar 1, 2020 Accepting new patients
Hospital Menonita Guayama Inc Diagnostic Radiology CurrentSince Oct 1, 2023 Accepting new patients
Tesla Radiology LLC Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients
Hospital Menonita de Cayey CurrentSince Nov 1, 2019 Accepting new patients
Mennonite General Hospital Inc CurrentSince Dec 1, 2015 Accepting new patients
Hospital Menonita Caguas Inc CurrentSince Jun 10, 2024 Accepting new patients
Boca Radiology Group PA Diagnostic Radiology Past Accepting new patients
Henrico Surgical Specialists, LLC Past Accepting new patients
Farmacia de la Comunidad Hospital Menonita de Guayama Past Accepting new patients

Locations

1 Ave Casa Linda
Ste 101
Bayamon, PR 00959
Phone (787) 399-9092

400 Ave Franklin D Roosevelt
Ste 101
San Juan, PR 00918
Phone (809) 765-7713

Organizations & group practices 15

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

View all 15

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366329600000",
    "number": "1629192018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 EASTVIEW AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835968",
            "telephone_number": "561-303-1282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 EASTVIEW AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835968",
            "telephone_number": "561-303-1282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUONOMO",
        "first_name": "LUZMARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2013-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "12859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.