Dr. Edgar E Domenech Fagundo
Plastic Surgeon (Head & Neck)
Torre Medica San Lucas, Ave. Tito Castro 917 Suite 618
Ponce
, Puerto Rico 00730
Dr. Edgar E Domenech Fagundo
Plastic Surgeon (Head & Neck)
Torre Medica San Lucas, Ave. Tito Castro 917 Suite 618
Ponce
, Puerto Rico 00730
(787) 290-4444
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About
Features
Specialties
- Plastic Surgeon (Head & Neck)
Languages spoken
- English
Location
First Address
- Dr. Edgar E Domenech Fagundo
- Pmb 137 Po Box 2000
- Mercedita, PR
- Zip : 00715
- Fax : (787) 290-4444
- Phone : (787) 290-3333
Second Address
- Dr. Edgar E Domenech Fagundo
- Torre Medica San Lucas, Ave. Tito Castro 917 Suite 618
- Ponce, PR
- Zip : 00730
- Fax : (787) 290-4444
- Phone : (787) 290-3333
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 13247 | PR |
National Provider Identifier
| NPI | 1386717247 |
|---|---|
| Provider Name | Dr. Edgar E Domenech Fagundo |
| First Address | Mercedita, PR 00715 |
| Second Address | Ponce, PR 00730 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/11/2006 |
| Last Update Date | 16/09/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G76827 | (02) | PR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.