Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Edgar Antonio Domenech

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1770191629

Edgar Antonio Domenech is a Student in an Organized Health Care Education/Training Program in Fayetteville, North Carolina. Works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Fayetteville, NC

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • Phsu, 388 Zona Industrial Reparada 2, Ponce, PR 00716-7004 — (787) 840-2575

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1770191629
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 16, 2020
Last updated in NPPESApril 8, 2023
Certification dateApril 8, 2023

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