Dr Edgar E Domenech Fagundo, MD - Medicare Otolaryngology in Ponce, PR

Dr Edgar E Domenech Fagundo, MD is a medicare enrolled "Otolaryngology - Plastic Surgery Within The Head & Neck" physician in Ponce, Puerto Rico. He went to Ponce School Of Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as Otolaryngology. His current practice location is Torre Medica San Lucas, Ave. Tito Castro 917, Suite 618, Ponce, Puerto Rico. You can reach out to his office (for appointments etc.) via phone at (787) 290-3333.

Dr Edgar E Domenech Fagundo is licensed to practice in Puerto Rico (license number 13247) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1386717247.

Contact Information

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



Physician's Profile

Full NameDr Edgar E Domenech Fagundo
GenderMale
SpecialityOtolaryngology
Experience31 Years
LocationTorre Medica San Lucas, Ave. Tito Castro 917, Ponce, Puerto Rico
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Edgar E Domenech Fagundo attended and graduated from Ponce School Of Medicine in 1993
  NPI Data:
  • NPI Number: 1386717247
  • Provider Enumeration Date: 11/16/2006
  • Last Update Date: 09/16/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 6305030891
  • Enrollment ID: I20101028000892

Medical Identifiers

Medical identifiers for Dr Edgar E Domenech Fagundo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386717247NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207YX0007XOtolaryngology - Plastic Surgery Within The Head & Neck 13247 (Puerto Rico)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
San Luke's Memorial Hospital IncPonce, PRHospital

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Edgar E Domenech Fagundo allows following entities to bill medicare on his behalf.
Entity NameBella Vista Hospital Inc
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1164775151
PECOS PAC ID: 6507831351
Enrollment ID: O20130213000149

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Entity NameSouthwest Oto And Head & Neck Surgery Psc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891104188
PECOS PAC ID: 0749505493
Enrollment ID: O20150220001887

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Edgar E Domenech Fagundo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice 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

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Otolaryngology Doctors in Ponce, PR

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: Accepting Medicare Assignments
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

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