EDWIN SEGARRA DMD NPI 1093816555

NPI Information

  • NPI: 1093816555
  • Provider Name: EDWIN SEGARRA, DMD
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: CALLE VILLA 129
    EDIFICIO CLAUSELLS SUITE 21
    PONCE, PR
    ZIP 00730
  • Phone: (787) 842-1027

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NPI Details

Edwin Segarra, DMD is a general practice dentist in Ponce, PR. The provider is 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. Edwin Segarra, DMD NPI is 1093816555. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

CALLE VILLA 129
EDIFICIO CLAUSELLS SUITE 21
PONCE, PR
ZIP 00730
Phone: (787) 842-1027
Fax: (787) 842-1027

The NPI 1093816555 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 9/26/2006 and was last updated on 4/22/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice1789PUERTO RICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11789OTHERPUERTO RICOCOOPERATIVA DE SEGUROS DE VIDA
24298OTHERPUERTO RICOINTERNATIONAL MEDICAL CAR
326189OTHERPUERTO RICOAMERICAN HEALTH
441686OTHERTRIPLE S INC
51093816555OTHERMEDICAL CARD SYSTEM
61093816555OTHERPUERTO RICOMEDICARE DENTAL NETWORK
71093816555OTHERPUERTO RICOMCS CLASICCARE
85925OTHERPUERTO RICOFIRST PLUS
91093816555OTHERPUERTO RICOTRLPE S MEDICARE ADVANTAGE
107320117OTHERPUERTO RICOHUMANA HEALTH PLANS
111093816555OTHERPUERTO RICODELTA DENTAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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