Southwest Oto and Head & Neck Surgery,psc
NPI 1891104188 · Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Ponce, PR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southwest Oto and Head & Neck Surgery,psc is a Plastic Surgery within the Head & Neck (Otolaryngology) Physician organization in Ponce, PR (NPI 1891104188).
Provider details
- NPI number
- 1891104188
- Entity type
- Organization
- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Edgar Domenech Fagundo, Owner(787) 290-3333
- License
- 13247 (PR)
Specialties & taxonomies
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianPrimary207YX0007XLicense 13247 (PR)
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-08-12
- Last updated
- 2014-08-12
Frequently asked questions
- What is Southwest Oto and Head & Neck Surgery,psc's NPI number?
- Southwest Oto and Head & Neck Surgery,psc's National Provider Identifier (NPI) is 1891104188, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southwest Oto and Head & Neck Surgery,psc?
- Southwest Oto and Head & Neck Surgery,psc is classified in the NPPES registry as Plastic Surgery within the Head & Neck (Otolaryngology) Physician (Allopathic & Osteopathic Physicians).
- Where is Southwest Oto and Head & Neck Surgery,psc located?
- Southwest Oto and Head & Neck Surgery,psc's practice location on file with NPPES is Torre Med San Lucas, Ponce, PR 00716-4728.
- What is Southwest Oto and Head & Neck Surgery,psc's phone number?
- The practice phone number listed in the NPPES registry for Southwest Oto and Head & Neck Surgery,psc is (787) 290-3333.
- Does Southwest Oto and Head & Neck Surgery,psc accept Medicare?
- Southwest Oto and Head & Neck Surgery,psc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southwest Oto and Head & Neck Surgery,psc?
- The authorized official listed on Southwest Oto and Head & Neck Surgery,psc's NPPES record is Edgar Domenech Fagundo, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southwest Oto and Head & Neck Surgery,psc's NPI active?
- Yes — Southwest Oto and Head & Neck Surgery,psc's NPI (1891104188) is active in the NPPES registry as of the last update on 2014-08-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.