NPI 1386717247

Edgar E Domenech Fagundo, MD

Practitioner Plastic Surgery within the Head & Neck (Otolaryngology) Physician Ponce, PR

Practice location

Address: Torre Medica San Lucas, Ave. Tito Castro 917 Suite 618, Ponce, PR 00730
Phone: (787) 290-3333
Fax: (787) 290-4444
Mailing address: Pmb 137 PO Box 2000, Mercedita, PR 00715

Registered specialties

Plastic Surgery within the Head & Neck (Otolaryngology) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207YX0007X Licence 13247 (PR)

Other Otolaryngology providers in Puerto Rico →

Registry record

NPI: 1386717247
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Nov 2006
Record last updated: 16 Sep 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.