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DR. EDGAR E DOMENECH FAGUNDO MD
NPI 1386717247
Otolaryngology - Plastic Surgery within the Head & Neck in Ponce, PR

Active since November 16, 2006PECOS EnrolledAccepts Medicare Assignment
TORRE MEDICA SAN LUCAS, AVE. TITO CASTRO 917, SUITE 618, PONCE, PR 00730(787) 290-3333(787) 290-4444 Get Directions Write a Review

NPPES record last updated: September 16, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Edgar E Domenech Fagundo Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EDGAR E DOMENECH FAGUNDO MD (NPI 1386717247) is an individual plastic surgery within the head & neck provider in Ponce, Puerto Rico, licensed in Puerto Rico (13247) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Hospital Episcopal San Lucas Ii, and is a graduate of Ponce School Of Medicine (1993).

NPPES Registry Identity

NPI1386717247
Entity TypeIndividualMale
Primary Taxonomy207YX0007X
Provider Legal NameDR. EDGAR E DOMENECH FAGUNDOCredential: MD
Location AddressTORRE MEDICA SAN LUCAS, AVE. TITO CASTRO 917, SUITE 618Ponce, PR 00730
Mailing AddressPmb 137 Po Box 2000Mercedita, PR 00715 · (787) 290-3333 · Fax (787) 290-4444
Phone(787) 290-3333
Fax(787) 290-4444
Sole ProprietorYes
Medical School CMSPonce School Of MedicineGraduated 1993
Enumeration DateNovember 16, 2006
Last NPPES UpdateSeptember 16, 2010
✔ NPI 1386717247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians
Taxonomy Code207YX0007X
License✔ Licensed in PR · 13247
Definition
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.
TORRE MEDICA SAN LUCAS, AVE. TITO CASTRO 917, Ponce, PR 00730
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Other Identifiers 2

Medicare ID-Type Unspecified0020400PR
Medicare UPING76827PR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Edgar E Domenech Fagundo Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305030891
PECOS Enrollment IDI20101028000892
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
76 services52 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
37 services32 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
22 services21 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
17 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hospital Episcopal San Lucas II

Acute Care Hospitals · Ponce, PR
OwnershipVoluntary non-profit - Private
CMS Certification Number400044
Location917 Ave Tito CastroPonce, PR 00716 · Ponce County
Emergency services Birthing friendly

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edgar Domenech Fagundo's NPI number?

The NPI number for Edgar Domenech Fagundo is 1386717247. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Where is Edgar Domenech Fagundo located?

Edgar Domenech Fagundo practices at Torre Medica San Lucas, Ave. Tito Castro 917 Suite 618, Ponce, PR 00730. The listed phone number is (787) 290-3333.

What is Edgar Domenech Fagundo's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Is Edgar Domenech Fagundo enrolled in Medicare?

Yes. Edgar Domenech Fagundo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Edgar Domenech Fagundo affiliated with any hospitals?

According to CMS data, Edgar Domenech Fagundo is affiliated with Hospital Episcopal San Lucas II.

When was this NPI record last updated?

The NPPES record for Edgar Domenech Fagundo was last updated on September 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.