EDWIN SEGARRA SR. (NPI# 1093816555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093816555 |
| Entity Type | Individual |
| Full Name | EDWIN SEGARRA SR. |
| Credential | DMD |
| Practice Address |
Calle Villa 129 Edificio Clausells Suite 21 Ponce PR 00730 |
| Mailing Address |
Po Box 8969 Ponce PR 00732-8969 |
| Practice Telephone | 7878421027 |
| Practice Fax Number | 7878421027 |
| Mailing Telephone | 7879841529 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2015-04-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
1789 | PR | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | MCS CLASICCARE | 1093816555 | 01 |
| TRIPLE S INC | 41686 | 01 | |
| PR | INTERNATIONAL MEDICAL CAR | 4298 | 01 |
| MEDICAL CARD SYSTEM | 1093816555 | 01 | |
| PR | MEDICARE DENTAL NETWORK | 1093816555 | 01 |
| PR | COOPERATIVA DE SEGUROS DE VIDA | 1789 | 01 |
| PR | DELTA DENTAL | 1093816555 | 01 |
| PR | TRLPE S MEDICARE ADVANTAGE | 1093816555 | 01 |
| PR | AMERICAN HEALTH | 26189 | 01 |
| PR | FIRST PLUS | 5925 | 01 |
| PR | HUMANA HEALTH PLANS | 7320117 | 01 |
| Street Address |
CALLE VILLA 129 EDIFICIO CLAUSELLS SUITE 21 |
| City | PONCE |
| State | PR |
| Zip Code | 00730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305197 | Hector Ruben Vazquez-torres | General Practice | Valle Alto Calle Cordillera, 1146, Ponce, PR 00730 | 2020-10-27 |
| 1245837327 | Christopher Jose Gotay Serrano | Rehabilitation Counselor | Urb. Santa Teresita Calle Santa Suzana 3711, Ponce, PR 00730 | 2020-10-02 |
| 1194330225 | Lilia Marlene Quintero | General Practice | Urb. Santa Teresita #4994 Santa Paula, Ponce, PR 00730 | 2020-09-15 |
| 1508470691 | Precision Medicine Transport, Corp. | Non-emergency Medical Transport (VAN) | Glenview Gardens Florencia T28, Ponce, PR 00730 | 2020-09-04 |
| 1184241747 | Edgar Luis Rodriguez | Student in an Organized Health Care Education/Training Program | #44 Calle Reina Isabel, Ponce, PR 00730 | 2020-06-30 |
| 1598381501 | Yalisse Linette Rodriguez Torres | Family Medicine | Valle Alto 1794 Llanura, Ponce, PR 00730 | 2020-06-25 |
| 1043833718 | Farmacia Rivera | Pharmacy | Urb. Santa Teresita Calle Santa Genoveva #3251, Esquina Emilio Fagot, Ponce, PR 00730 | 2020-05-28 |
| 1710506464 | Francesca Emily Rios Miller | Pharmacist | Est. Del Golf Club 385, Calle Juan H. Cintron, Ponce, PR 00730 | 2020-04-13 |
| 1689200149 | Centro Ambulatorio De Cirugia Especializada | Clinic/Center | 1000 Av. Tito Castro, Ponce, PR 00730 | 2020-03-17 |
| 1124651773 | Giovanni Lugo | Student in an Organized Health Care Education/Training Program | Calle Reina Isabel #44, Ponce, PR 00730 | 2020-02-21 |
| Find all providers in zip 00730 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700176609 | Patricia Enid Irizarry | Dentist | S1 Jard Fagot, Calle Valeriana, Ponce, PR 00716-4048 | 2011-04-12 |
| 1013063882 | Benjamin Gonzalez Reyes | Dentist | Plazoleta Las Americas 2015, Ave. Las Americas Suite 101, Ponce, PR 00717 | 2007-01-26 |
| 1851446488 | Jose L. Franco Mal | Dentist | 104 Calle Reina, Ponce, PR 00730-3683 | 2007-01-24 |
| 1669525176 | Mildred Ocasio-santiago | Dentist | 21 Calle Alfonso Xii, Playa Ponce, Ponce, PR 00716-8012 | 2007-01-19 |
| 1770630865 | Amilcar Rafael Rodriguez Melendez | Dentist | Glenview Gardens Shopping Center, Suite #4, Ponce, PR 00731 | 2007-01-04 |
| 1568521250 | Leslie H Lopez | Dentist | 129villa, Suite 23, Ponce, PR 00730 | 2006-12-08 |
| 1710047154 | Jesus E Lopez | Dentist | 2637 Ave Las Americas, Ponce, PR 00717-2106 | 2006-12-08 |
| 1689732950 | Luis A Gonzalez | Dentist | Santa Maria Office Bldg Suite 222 Calle Ferrocuri 450, Ponce, PR 00717-1105 | 2006-12-05 |
| 1164594917 | Rosa Y Sanchez | Dentist | Policlinicas De Ponce Plazoleta Cash and Carry #4, Ponce, PR 00731 | 2006-11-15 |
| 1427127554 | Maria Eloisa Melendez | Dentist | 2909 Ave Emilio Fagot, Ponce, PR 00716-3613 | 2006-11-06 |
| Find all providers in PONCE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.