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Contact Information

EDWIN SEGARRA SR, DMD
CALLE VILLA 129
EDIFICIO CLAUSELLS SUITE 21
PONCE, PR00730
 Phone: 787-842-1027
 Fax: 787-842-1027
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for EDWIN SEGARRA SR · (Male)

NPI # 1093816555
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 09/26/2006
Last updated 04/22/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • PR License # 1789
  • Other 1093816555 MEDICAL CARD SYSTEM
  • Other 41686 TRIPLE S INC
  • PR Other 26189 AMERICAN HEALTH
  • PR Other 1789 COOPERATIVA DE SEGUROS DE VIDA
  • PR Other 1093816555 DELTA DENTAL
  • PR Other 5925 FIRST PLUS
  • PR Other 7320117 HUMANA HEALTH PLANS
  • PR Other 4298 INTERNATIONAL MEDICAL CAR
  • PR Other 1093816555 MCS CLASICCARE
  • PR Other 1093816555 MEDICARE DENTAL NETWORK
  • PR Other 1093816555 TRLPE S MEDICARE ADVANTAGE
Hospital affiliation(s) Not Available
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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