MARIO J FONSECA, MD, PA (NPI# 1811287667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811287667 |
| Entity Type | Organization |
| Organization Name | MARIO J FONSECA, MD, PA |
| Practice Address |
7325 Sw 63rd Ave Suite 201 South Miami FL 33143-4811 |
| Practice Telephone | 3056699404 |
| Practice Fax Number | 3056699660 |
| Mailing Telephone | 3056699404 |
| Mailing Fax Number | 3056699660 |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2011-04-13 |
| Authorized Official Name | MARIO J FONSECA (PRESIDENT) |
| Authorized Official Telephone | 3056699404 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 65287 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 374540600 | 05 |
| Street Address |
7325 SW 63RD AVE SUITE 201 |
| City | SOUTH MIAMI |
| State | FL |
| Zip Code | 33143-4811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578545851 | Robert B Schader | Internal Medicine | 7325 Sw 63rd Ave, Ste 203, South Miami, FL 33143-4811 | 2005-11-14 |
| 1497124788 | Giulia Suro | Psychologist | 7325 Sw 63rd Ave, Suite 101, South Miami, FL 33143-4811 | 2015-09-17 |
| 1184720021 | Remway, Inc. | Durable Medical Equipment & Medical Supplies | 7325 Sw 63rd Ave, Suite 201, South Miami, FL 33143-4811 | 2006-09-16 |
| 1942302401 | Stephanie Reder Carter | Psychologist | 7325 Sw 63rd Ave, Suite 101, South Miami, FL 33143-4811 | 2006-09-03 |
| 1457365272 | Maria J Paricio Md Pa | Psychiatry & Neurology | 7325 Sw 63rd Ave, Suite 201, South Miami, FL 33143-4812 | 2006-07-28 |
| 1245265024 | Natalie Snyder | Social Worker | 7325 Sw 63rd Ave, Suite 102, South Miami, FL 33143-4811 | 2006-07-11 |
| 1104868538 | Maria J Paricio | Psychiatry & Neurology | 7325 Sw 63rd Ave, Suite 201, South Miami, FL 33143-4812 | 2006-06-11 |
| 1124082003 | Mario J Fonseca | Family Medicine | 7325 Sw 63rd Ave, Suite 201, South Miami, FL 33143-4811 | 2006-04-17 |
| 1487636767 | Sleep-wake Disorders Center of South Florida Inc | Clinic/Center | 7325 Sw 63rd Ave, Suite 203, South Miami, FL 33143-4811 | 2005-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821610395 | Klsirage LLC | Dentist | 8688 Sw 72 St, Miami, FL 33143 | 2020-05-07 |
| 1417577669 | Ahc Diagnostic and Imaging Services | Clinic/Center | 8000 Sw 67th Avenue, Miami, FL 33143 | 2020-04-17 |
| 1841832359 | Haytham Elgammal | Internal Medicine | 7031 Sw 62nd, Miami, FL 33143 | 2019-10-16 |
| 1326504077 | Zavita Life Health & Wellness | Clinic/Center | 6104 S Dixie Hwy, Miami, FL 33143 | 2019-02-19 |
| 1629548706 | Floridacare Medical Centers Inc | Internal Medicine | 434 Sw 12 Ave, Miami, FL 33143 | 2018-11-30 |
| 1649766197 | Demys D Gonzalez | Nurse Practitioner | 6705 Sw 57th Ave Ste 522, South Miami, FL 33143 | 2018-07-09 |
| 1225529373 | Marjory P Camargo Bermejo | Behavior Technician | 7368sw 80 Street Plaza Apto 168, Mi, Miami, FL 33143 | 2018-05-24 |
| 1609365147 | Foot Ankle and Knee Mri LLC | Clinic/Center | 7520 Sw 57th Ave Ste A, South Miami, FL 33143 | 2018-05-09 |
| 1871082024 | Healing Counseling Services, LLC | Counselor | 8100 Sw 81st Street Drive, Suite 276, Miami, FL 33143 | 2018-05-03 |
| 1750882957 | Aba Therapy & Instruction Corp | Behavioral Analyst | 8101 Camino Real Apt C-204, Miami, FL 33143 | 2018-02-22 |
| Find all providers in zip 33143 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609390863 | Physician Management Services of South Florida, LLC | Family Medicine | 6280 Sunset Dr Ste 407, South Miami, FL 33143-4860 | 2017-07-31 |
| 1043519689 | Alonso Jose Martin Del Campo | Family Medicine | 7171 Sw 62nd Ave Fl 3, South Miami, FL 33143-4723 | 2011-03-22 |
| 1518195106 | Michelle An Fish | Family Medicine | 5975 Sunset Dr Ste 402, South Miami, FL 33143-5198 | 2009-06-23 |
| 1205923216 | Mark Alan Zager | Family Medicine | 7540 Sw 61st Ave, South Miami, FL 33143-5012 | 2006-10-10 |
| 1356436786 | Humberto Fernandez-miro | Family Medicine | 7460 Sw 64th St, South Miami, FL 33143-2802 | 2006-10-03 |
| 1700817574 | Carlos Miguel Marill | Family Medicine | 6280 Sunset Dr Ste 400, South Miami, FL 33143-4860 | 2006-07-06 |
| 1790715688 | Rafael A Palmerola Md P A | Family Medicine | 7875 Sw 66th St, South Miami, FL 33143-2712 | 2006-07-04 |
| 1235171711 | Kim Lisa Bango | Family Medicine | 6150 Sw 76th St Fl 1, South Miami, FL 33143-5002 | 2006-06-11 |
| 1437113909 | Omart S Robaina | Family Medicine | 6601 Sw 62nd Ave, South Miami, FL 33143-3300 | 2006-04-13 |
| 1194709238 | Joel P Jahraus | Family Medicine | 6150 Sw 76th St, South Miami, FL 33143-5002 | 2005-12-02 |
| Find all providers in SOUTH MIAMI | ||||
| City | SOUTH MIAMI |
| Zip Code | 33143 |
Please comment or provide details below to improve the information on MARIO J FONSECA, MD, PA.
| 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.