DR. Edgar E Domenech Fagundo, MD

NPI #1386717247 in Ponce, Puerto Rico

Provider Information

NPI Number: 1386717247
Entity Type: Individual
Name: DR. Edgar E Domenech Fagundo, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Otolaryngology - Plastic Surgery within the Head & Neck
Credential: MD
Enumeration Date: Nov 16, 2006
Last Updated: Sep 16, 2010

Practice Location

Address: TORRE MEDICA SAN LUCAS, AVE. TITO CASTRO 917
Address 2: SUITE 618
City: Ponce
State: Puerto Rico
ZIP Code: 00730
Phone: (787) 290-3333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology - Plastic Surgery within the Head & Neck — Plastic Surgery within the Head & Neck	207YX0007X	Primary

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