Active NPIOrganization

Southwest Oto And Head & Neck Surgery,psc

Otolaryngology, Plastic Surgery within the Head & Neck in Ponce, Puerto Rico

NPI Number1891104188
Practice location
Torre Med San Lucas, Ave. Tito Castro, Ponce, PR 00716-4728
Fax
787-290-4444
Last updated
August 12, 2014

Southwest Oto And Head & Neck Surgery,psc is a healthcare organization based in Ponce, PR. Southwest Oto And Head & Neck Surgery,psc practices in Ponce, PR. The NPI Number for Southwest Oto And Head & Neck Surgery,psc is 1891104188 and holds a License No. 13247 (PR). The current practice location address for Southwest Oto And Head & Neck Surgery,psc is Torre Med San Lucas, Ave. Tito Castro, Ponce, PR 00716-4728 and can be reached out via phone at 787-290-3333 and via fax at 787-290-4444.

Provider Profile Details

NPI Number
1891104188
Provider Name
Southwest Oto And Head & Neck Surgery,psc
Provider Entity Type
Organization
Address
Torre Med San Lucas, Ave. Tito Castro, Ponce, PR 00716-4728
Phone Number
787-290-3333
Fax Number
787-290-4444
Organization Subpart
No
Authorized Official
Dr. Edgar Domenech Fagundo, MD · Owner · 787-290-3333
Provider Enumeration Date
August 12, 2014
Last Update Date
August 12, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
Torre Med San Lucas
Ave. Tito Castro
Ponce, PR 00716-4728
City
Ponce
Zip
00716-4728
Phone Number
787-290-3333
Fax Number
787-290-4444
Ponce, PR 00716Get directions →

Provider Business Mailing Address Details

Address
Po Box 2000
Pmb 137
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

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 Southwest Oto And Head & Neck Surgery,psc?

The NPI number of Southwest Oto And Head & Neck Surgery,psc is 1891104188. It was assigned on August 12, 2014 and is currently active in the NPPES registry.

What is the specialty of Southwest Oto And Head & Neck Surgery,psc?

Southwest Oto And Head & Neck Surgery,psc is registered under the primary taxonomy Otolaryngology, Plastic Surgery within the Head & Neck (code 207YX0007X), licensed in PR under license number 13247.

Where does Southwest Oto And Head & Neck Surgery,psc practice?

The practice location is Torre Med San Lucas, Ave. Tito Castro, Ponce, PR 00716-4728. 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 1891104188 directly on the NPPES registry website.

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