Dr. Edgar E Domenech Fagundo, MD
Otolaryngology, Plastic Surgery within the Head & Neck in Ponce, Puerto Rico
1386717247- Practice location
- Torre Medica San Lucas, Ave. Tito Castro 917, Suite 618, Ponce, PR 00730
- Phone
- 787-290-3333
- Fax
- 787-290-4444
- Last updated
- September 16, 2010
Edgar E Domenech Fagundo is an Otolaryngology, Plastic Surgery within the Head & Neck based in Ponce, PR. Edgar E Domenech Fagundo practices in Ponce, PR and has the professional credentials of MD. The NPI Number for Edgar E Domenech Fagundo is 1386717247 and holds a License No. 13247 (PR). The current practice location address for Edgar E Domenech Fagundo is Torre Medica San Lucas, Ave. Tito Castro 917, Suite 618, Ponce, PR 00730 and can be reached out via phone at 787-290-3333 and via fax at 787-290-4444.
Provider Profile Details
- NPI Number
- 1386717247
- Provider Name
- Edgar E Domenech Fagundo
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- Torre Medica San Lucas, Ave. Tito Castro 917, Suite 618, Ponce, PR 00730
- Phone Number
- 787-290-3333
- Fax Number
- 787-290-4444
- Primary Taxonomy
- Otolaryngology, Plastic Surgery within the Head & Neck · 207YX0007X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 16, 2006
- Last Update Date
- September 16, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- Torre Medica San Lucas, Ave. Tito Castro 917
Suite 618
Ponce, PR 00730 - City
- Ponce
- State
- Puerto Rico
- Zip
- 00730
- Phone Number
- 787-290-3333
- Fax Number
- 787-290-4444
Provider Business Mailing Address Details
- Address
- Pmb 137 Po Box 2000
Mercedita, PR 00715 - City
- Mercedita
- State
- PR
- Zip
- 00715
- Phone Number
- 787-290-3333
- Fax Number
- 787-290-4444
License Information
- License Number
- 13247
- License State
- PR
- Taxonomy
- Otolaryngology, Plastic Surgery within the Head & Neck · 207YX0007X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Dr. Edgar E Domenech Fagundo, MD?
The NPI number of Dr. Edgar E Domenech Fagundo, MD is 1386717247. It was assigned on November 16, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Edgar E Domenech Fagundo, MD?
Dr. Edgar E Domenech Fagundo, MD is registered under the primary taxonomy Otolaryngology, Plastic Surgery within the Head & Neck (code 207YX0007X), licensed in PR under license number 13247.
Where does Dr. Edgar E Domenech Fagundo, MD practice?
The practice location is Torre Medica San Lucas, Ave. Tito Castro 917, Suite 618, Ponce, PR 00730. The office can be reached at 787-290-3333 (phone) or 787-290-4444 (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 1386717247 directly on the NPPES registry website.