Active NPIIndividual providerSole proprietor

Edwin Segarra Sr., DMD

Dentist, General Practice in Ponce, Puerto Rico

NPI Number1093816555
Practice location
Calle Villa 129, Edificio Clausells Suite 21, Ponce, PR 00730
Fax
787-842-1027
Last updated
April 22, 2015

Edwin Segarra is a Dentist, General Practice based in Ponce, PR. Edwin Segarra practices in Ponce, PR and has the professional credentials of DMD. The NPI Number for Edwin Segarra is 1093816555 and holds a License No. 1789 (PR). The current practice location address for Edwin Segarra is Calle Villa 129, Edificio Clausells Suite 21, Ponce, PR 00730 and can be reached out via phone at 787-842-1027 and via fax at 787-842-1027.

Provider Profile Details

NPI Number
1093816555
Provider Name
Edwin Segarra
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
Calle Villa 129, Edificio Clausells Suite 21, Ponce, PR 00730
Phone Number
787-842-1027
Fax Number
787-842-1027
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
September 26, 2006
Last Update Date
April 22, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
Calle Villa 129
Edificio Clausells Suite 21
Ponce, PR 00730
City
Ponce
Zip
00730
Phone Number
787-842-1027
Fax Number
787-842-1027
Ponce, PR 00730Get directions →

Provider Business Mailing Address Details

Address
Po Box 8969
Ponce, PR 00732-8969
City
Ponce
State
PR
Zip
00732-8969
Phone Number
787-984-1529

License Information

License Number
1789
License State
PR
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Edwin Segarra Sr., DMD?

The NPI number of Edwin Segarra Sr., DMD is 1093816555. It was assigned on September 26, 2006 and is currently active in the NPPES registry.

What is the specialty of Edwin Segarra Sr., DMD?

Edwin Segarra Sr., DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in PR under license number 1789.

Where does Edwin Segarra Sr., DMD practice?

The practice location is Calle Villa 129, Edificio Clausells Suite 21, Ponce, PR 00730. The office can be reached at 787-842-1027 (phone) or 787-842-1027 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093816555 directly on the NPPES registry website.

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