Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EDGAR E DOMENECH FAGUNDO, MD
Active Sole ProprietorPlastic Surgery within the Head & Neck · PONCE, PR
Registration Details
- NPI Number
- 1386717247
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 16, 2006 (19.443380299525 yrs)
- Last Updated
- Sep 16, 2010
- License
-
13247 (PR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
TORRE MEDICA SAN LUCAS, AVE. TITO CASTRO 917SUITE 618PONCE, PR, 00730Browse PR providers · Browse ZIP 00730
- Phone
- 7872903333
- Fax
- 7872904444
- Primary Specialty
-
Plastic Surgery within the Head & Neck
207YX0007X
Other Plastic Surgery within the Head & Neck Providers in PONCE, PR
| Name | Credential | NPI |
|---|---|---|
| DR. ROBERTO GONZALEZ GONZALEZ | M.D. | 1275591489 |
| DR. GABRIEL DAVID PUJOL CUEVAS | MD | 1881147825 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.