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Contact Information

EDGAR E DOMENECH FAGUNDO, MD
TORRE MEDICA SAN LUCAS, AVE. TITO CASTRO 917
SUITE 618
PONCE, PR00730
 Phone: 787-290-3333
 Fax: 787-290-4444
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery within the Head & Neck

207YX0007X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for EDGAR E DOMENECH FAGUNDO · (Male)

NPI # 1386717247
Status Active
Credentials MD
Entity Individual
Enumeration date 11/16/2006
Last updated 09/16/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • PR License # 13247
Hospital affiliation(s)
  • SAN LUKE'S MEMORIAL HOSPITAL INC - (Acute Care)
    TITO CASTRO AVE #917
    PONCE, PR 00733
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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