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

Carretera 2 KM 11.7
Bayamon, PR 00959-0000

Phone

(787) 620-8181

NPI assigned

Sep 8, 2016

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.

Title

President

Phone

(787) 785-8034

Specialties & licenses 7

Addresses

Tax ID family

De Jesus Matos Medical Imaging Professionals PSC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• De Jesus & Matos Medical Imaging Professionals, P.S.C.

  • Diagnostic Radiology Physician
  • Bayamon, PR
  • NPI 1982094199
  NPD tax ID
• DJM Imaging Center LLC

  • Radiology Clinic/Center
  • Bayamon, PR
  • NPI 1437378163
  NPD tax ID

Practitioners 1

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

• Harold Anthony Serrano, M.D.

  • Emergency Medicine Physician
  • Carolina, PR
  • NPI 1710181458
  NPD (past)

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473292800000",
    "number": "1871040717",
    "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": "CARRETERA 2 KM 11.7",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009590000",
            "telephone_number": "787-620-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE JESUS & MATOS MEDICAL IMAGING PROFESSIONALS, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-08",
        "last_updated": "2016-09-08",
        "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": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085D0003X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Neuroradiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Pediatric Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lissette Ann Marie Davis Rosario
• William R Davis, DC
• Dca Emergency Service PSC
• Gabriela R De Boer, M.D.
• De Jesus & Matos Medical Imaging Professionals, P.S.C.
• Melissa Enid De Jesus Cabrera, MD
• Brian Iran De Jesus Dipre, MD
• Ricardo De Jesus Gomez, M.D.
• Tania Marie De Jesus Laboy, CD, CBE
• Zuleika De Jesus Rodriguez

• Diagnostic Radiology Physician in Bayamon, PR
• Providers in Bayamon, 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 Sep 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.