De Jesus & Matos Medical Imaging Professionals, PSC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

DE JESUS & MATOS MEDICAL IMAGING PROFESSIONALS, PSC

Practice address

18 Ave Severiano Cuevas
Bo Caimital Bajo
Aguadilla, PR 00603

Phone

(787) 785-8034

Fax

(787) 787-8029

NPI assigned

Mar 10, 2016

Last updated

Mar 10, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ricardo De Jesus Gomez, M.D.NPI 1780671891

Title

President

Phone

(787) 785-8034

Specialties & licenses 7

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• De Jesus & Matos Medical Imaging Professionals, PSC

  • Diagnostic Radiology Physician
  • Moca, PR
  • NPI 1548713647

  O20110201000856

  Same enrollment
• DJM Imaging Center LLC

  • Radiology Clinic/Center
  • Bayamon, PR
  • NPI 1437378163

  O20110201000856

  Same enrollment

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ricardo De Jesus Gomez, M.D.

  • Diagnostic Radiology Physician
  • Bayamon, PR
  • NPI 1780671891
  Authorized official Same address or phone

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457568000000",
    "number": "1720449309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3049",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009603049",
            "telephone_number": "787-785-8034",
            "fax_number": "787-787-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 AVE SEVERIANO CUEVAS",
            "address_2": "BO CAIMITAL BAJO",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-785-8034",
            "fax_number": "787-787-8029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE JESUS & MATOS MEDICAL IMAGING PROFESSIONALS, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-10",
        "last_updated": "2016-03-10",
        "status": "A",
        "authorized_official_last_name": "DE JESUS GOMEZ",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-785-8034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085D0003X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana M Cuello Blanco, M.D.
• D & P LLC Farmacia la Botica
• Jaime J Dasilva Arocho
• Ismael Ernesto Davila, D.C.
• Fidel C De Frias Jimenez, MD
• Lymari De Jesus
• Maria A Del Rio, M.D.
• Damaris Delgado Cotto
• Andres Gabriel Delgado Hidalgo, MD
• Tairee Nichole Delgado

• Diagnostic Radiology Physician in Aguadilla, PR
• Providers in Aguadilla, PR by specialty
• Diagnostic Radiology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.