EDGAR E. DOMENECH FAGUNDO MD – NPI #1386717247
Otolaryngology
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
EDGAR DOMENECH FAGUNDO is an otolaryngologist located in PONCE, PR. NPPES has assigned the NPI number 1386717247 to EDGAR DOMENECH FAGUNDO on November 16, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207YX0007X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology, specializing in Plastic Surgery within the Head & Neck
The NPI profile was previously updated about 16 years ago on Sep 16, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EDGAR DOMENECH FAGUNDO below.
NPI Profile for
EDGAR E. DOMENECH FAGUNDO
(more than 19 years ago)
SUITE 618
PONCE, PR 00730 Phone: (787) 290-3333 Fax: (787) 290-4444
MERCEDITA, PR 00715 Phone: (787) 290-3333 Fax: (787) 290-4444
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207YX0007X - Otolaryngology / Plastic Surgery within the Head & Neck (Primary) |
PR | 13247 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
EDGAR DOMENECH FAGUNDO is affiliated with the following medical group(s):
- HOSPITAL
- SAN LUKE'S MEMORIAL HOSPITAL INCTITO CASTRO AVE #917
PONCE, PR 00733
- SAN LUKE'S MEMORIAL HOSPITAL INCTITO CASTRO AVE #917
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