MARK ALEXANDER FONSECA (NPI# 1346608726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346608726 |
| Entity Type | Individual |
| Full Name | MARK ALEXANDER FONSECA |
| Credential | MSN AGPCNP-BC |
| Practice Address |
51 Sw 134th Ct Miami FL 33184-1177 |
| Practice Telephone | 7864936556 |
| Mailing Telephone | 7864936556 |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2016-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
ARNP9309582 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
ARNP9309582 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396101028 | Mark Fonseca | Hearing Instrument Specialist | 3143 W Jefferson St, Joliet, IL 60435-4733 | 2016-01-11 |
| Street Address |
51 SW 134TH CT |
| City | MIAMI |
| State | FL |
| Zip Code | 33184-1177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760991988 | Mark Alexander Fonseca Arnp, LLC | Nurse Practitioner | 51 Sw 134th Ct, Miami, FL 33184-1177 | 2017-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326657867 | Aime Nunez | Behavior Technician | 1205 Sw 136th Place, Miami, FL 33184 | 2020-07-30 |
| 1518575067 | Psych Healing Institute LLC | Community/Behavioral Health | 12542 Sw 8th Street, Miami, FL 33184 | 2020-07-21 |
| 1972139293 | Mavis Mendive De La Torre | Behavior Technician | 13797 Sw 14 St, Miami, FL 33184 | 2020-03-18 |
| 1902376544 | Kenia Roque | Behavior Technician | 11890 Sw 8 St Suite 309, Miami, FL 33184 | 2018-11-27 |
| 1205322179 | Yolaxis Alvarez | Case Manager/Care Coordinator | 931 Sw 122 Ave, Miami, FL 33184 | 2018-07-03 |
| 1265922819 | Expedited Medical Supplies Corp | Durable Medical Equipment & Medical Supplies | 12206 Sw 8th St, Suite 157, Miami, FL 33184 | 2018-05-18 |
| 1144728056 | Liz G San Martin | Nurse Practitioner | 1019 Sw 137th Pl, Miami, FL 33184 | 2018-01-25 |
| 1699280222 | Lourdes Castillo | Behavior Technician | 12015 Sw 14th St, Suite 310c, Miami, FL 33184 | 2017-12-05 |
| 1972014892 | Lisandra Lastra | Behavior Technician | 13803 Sw 9th St, Miami, FL 33184 | 2017-10-18 |
| 1265941991 | Ileana Beltran | Behavior Technician | 12010 Sw 2nd St, Miami, FL 33184 | 2017-09-26 |
| Find all providers in zip 33184 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679170674 | Lorena Beatriz Canelon | Nurse Practitioner | 16151 Sw 147th Ln, Miami, FL 33196-6416 | 2020-10-04 |
| 1710594114 | Sumelia Waddell | Nurse Practitioner | 462 Ne 210th Circle Ter Apt 204, Miami, FL 33179-5236 | 2020-09-29 |
| 1477167799 | Yanet Moreda Mendez | Nurse Practitioner | 14433 Sw 107th Ter, Miami, FL 33186-2938 | 2020-09-03 |
| 1386285732 | Addys Lisette Santos Hernandez | Nurse Practitioner | 11031 Sw 51st Ter, Miami, FL 33165-6902 | 2019-10-07 |
| 1649736745 | Marie Aliene Jusma | Nurse Practitioner | 1095 Nw 110th Street, House, Miami, FL 33168 | 2019-02-13 |
| 1306301635 | Wellspring Preservation Medical Vacation Boutique & Spa, LLC | Nurse Practitioner | 14051 Sw 152nd Ter, Miami, FL 33177-0910 | 2019-01-31 |
| 1174005250 | Julieth Andrea Rave | Nurse Practitioner | 3663 S Miami Ave Ste 209, Miami, FL 33133-4253 | 2018-09-05 |
| 1245712686 | Donna O Martinez | Nurse Practitioner | 16543 Sw 59th Ter, Miami, FL 33193-5686 | 2018-09-01 |
| 1033695465 | Carolina Elena Navarro | Nurse Practitioner | 353 Sw 23rd Rd, Miami, FL 33129-1923 | 2018-07-18 |
| 1528554003 | Ernesto Gregorio Napoles | Nurse Practitioner | 14909 Sw 80th St Apt 204, Miami, FL 33193-3149 | 2018-07-08 |
| Find all providers in MIAMI | ||||
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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.