# HEAD & NECK ONCOPLASTIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831072784
- **Authorized official:** DR. GABRIEL PUJOL CUEVAS MD (PRESIDENT)
- **Authorized official phone:** (787) 812-3030

## Contact information

- **Practice address:** 1010 PASEO DEL VETERANO, PONCE, PR 00716-2001
- **Practice address phone:** (787) 812-3030
- **Mailing address:** J8 AVE SAN PATRICIO APT 29, GUAYNABO, PR 00968-4462

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | — | NULL | — |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | — | — | — |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | NULL | Yes |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/29/2025
- **Last updated:** 07/29/2025