Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southwest Oto and Head & Neck Surgery, PSC

Organization Plastic Surgery within the Head & Neck (Otolaryngology) Physician · NPI 1891104188

Southwest Oto and Head & Neck Surgery, PSC is a Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Ponce, Puerto Rico. Licensed in Puerto Rico. Registered with an NPI since 2014.

Licensed in
PR
In the registry since
2014
What do these letters mean?
PSC — Professional service corporation
A form of business registration, not a clinical qualification.

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

Torre Med San Lucas Ave Tito Castro
Ponce, PR 00716-4728
Phone: (787) 290-3333
Fax: (787) 290-4444

Specialties & licences

Plastic Surgery within the Head & Neck (Otolaryngology) Physician (primary) Taxonomy 207YX0007X · Licence 13247 (PR)

Record details

NPI number1891104188
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edgar Domenech Fagundo — Owner · (787) 290-3333
NPI enumeratedAugust 12, 2014
Last updated in NPPESAugust 12, 2014
Mailing addressPo Box 2000, Pmb 137, Mercedita, PR 00715

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