Individual
EDWIN SEGARRA SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
CALLE VILLA 129, EDIFICIO CLAUSELLS SUITE 21, PONCE, PR 00730
(787) 842-1027
(787) 842-1027
Mailing address
PO BOX 8969, PONCE, PR 00732-8969
(787) 984-1529
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1789
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093816555
DELTA DENTAL
PR
01
—
1093816555
MEDICAL CARD SYSTEM
—
01
—
1789
COOPERATIVA DE SEGUROS DE VIDA
PR
01
—
26189
AMERICAN HEALTH
PR
01
—
41686
TRIPLE S INC
—
01
—
4298
INTERNATIONAL MEDICAL CAR
PR
01
—
5925
FIRST PLUS
PR
01
—
7320117
HUMANA HEALTH PLANS
PR
Enumeration date
09/26/2006
Last updated
04/22/2015
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