| Dr Edgar E Domenech Fagundo, MD | |
|
Torre Medica San Lucas, Ave. Tito Castro 917, Suite 618, Ponce, PR 00730 | |
| (787) 290-3333 | |
| (787) 290-4444 |
| Full Name | Dr Edgar E Domenech Fagundo |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 32 Years |
| Location | Torre Medica San Lucas, Ave. Tito Castro 917, Ponce, Puerto Rico |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386717247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207YX0007X | Otolaryngology - Plastic Surgery Within The Head & Neck | 13247 (Puerto Rico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| San Luke's Memorial Hospital Inc | Ponce, PR | Hospital |
| Entity Name | Bella Vista Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1164775151 PECOS PAC ID: 6507831351 Enrollment ID: O20130213000149 |
| Entity Name | Southwest Oto And Head & Neck Surgery Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891104188 PECOS PAC ID: 0749505493 Enrollment ID: O20150220001887 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Edgar E Domenech Fagundo, MD Pmb 137 Po Box 2000, Mercedita, PR 00715 Ph: (787) 290-3333 | Dr Edgar E Domenech Fagundo, MD Torre Medica San Lucas, Ave. Tito Castro 917, Suite 618, Ponce, PR 00730 Ph: (787) 290-3333 |
Dr. William Santiago Butler, M.D., Otolaryngology Medicare: Medicare Enrolled Practice Location: Cond Las Americas, Suite 209, Ponce, PR 00717 Phone: 787-848-4743 Fax: 787-848-4744 | |
Dr. Roberto Gonzalez Gonzalez, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: Salud Ave. #1326, Suite 511, Ponce, PR 00717 Phone: 787-844-5980 Fax: 787-844-5999 | |
Mario Augusto Corona Ruiz, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2225 Ponce Byp Ste 502, Ponce, PR 00717 Phone: 787-934-7737 | |
Dr. Pedro J Vendrell Martin Sr., MD- ENT HNS Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 2610 Mayor St. Corner Marina St, Ponce, PR 00717 Phone: 787-842-7132 Fax: 787-842-7132 | |
Dr. Gabriel David Pujol Cuevas, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1010 Paseo Del Veterano, Ponce, PR 00716 Phone: 787-812-3030 |