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

Dr. Edgar E Domenech Fagundo, MD

Individual provider Plastic Surgery within the Head & Neck (Otolaryngology) Physician · NPI 1386717247

Dr. Edgar E Domenech Fagundo, MD is an Otolaryngology in Ponce, Puerto Rico. Graduated from Ponce School of Medicine in 1993, 33 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Puerto Rico.

Years since qualifying
33
Trained at
Ponce School of Medicine
Licensed in
PR
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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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 Medica San Lucas Ave Tito Castro 917 Ste 618
Ponce, PR 00730
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 number1386717247
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 16, 2006
Last updated in NPPESSeptember 16, 2010
Mailing addressPmb 137 Po Box 2000, Mercedita, PR 00715

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolPONCE SCHOOL OF MEDICINE
Graduated 1993 (33 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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