Southwest Oto and Head & Neck Surgery,psc
NPI #1891104188 in Ponce, Puerto Rico
Provider Information
- NPI Number
- 1891104188
- Entity Type
- Organization
- Organization Name
- Southwest Oto and Head & Neck Surgery,psc
- Primary Specialty
- Otolaryngology - Plastic Surgery within the Head & Neck
- Enumeration Date
- Aug 12, 2014
- Last Updated
- Aug 12, 2014
Practice Location
- Address
- TORRE MED SAN LUCAS
- Address 2
- AVE. TITO CASTRO
- City
- Ponce
- State
- Puerto Rico
- ZIP Code
- 00716-4728
- Phone
- (787) 290-3333
Authorized Official
- Name
- DR. EDGAR DOMENECH FAGUNDO, MD
- Title
- OWNER
- Phone
- (787) 290-3333
Specialties & Taxonomy Codes
| Specialty |
|---|
| Otolaryngology - Plastic Surgery within the Head & Neck — Plastic Surgery within the Head & Neck |
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