Mario J Fonseca in South Miami - Family Medicine
Mario J Fonseca - NPI 1124082003
Mario J Fonseca is a Family Medicine in South Miami, Florida. Mario J Fonseca practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mario J Fonseca is 1124082003. The last update date is 2015-01-05.
Mario J Fonseca's current location address is 6630 Sw 77th Ter, South Miami, Florida. You can contact this provider via phone number 3056699404 and fax number 3056699660. The mailing address for Mario J Fonseca is 6630 Sw 77th Ter, South Miami, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mario J Fonseca |
|---|---|
| Address | 6630 Sw 77th Ter, South Miami, Florida |
| Phone Number | 3056699404 |
| Fax Number | 3056699660 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1124082003 |
|---|---|
| Provider Enumeration Date | 2006-04-17 |
| Last Updated Date | 2015-01-05 |
Provider Mailing Address Detail
| Address | 6630 Sw 77th Ter |
|---|---|
| City | South Miami |
| State | Florida (FL) |
| Post Code | 331434634 |
| Phone Number | 3056699404 |
| Fax Number | 3056699660 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 65287 |
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Definition: 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 i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 23840 | FL | BCBSF | |
| 374540600 | FL | -- |
Post Comment/ Review Below
What is the Mario J Fonseca's 1124082003?
The Mario J Fonseca's NPI (National Provider Identifier) Number is 1124082003. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Mario J Fonseca located?
The Mario J Fonseca is located at 6630 Sw 77Th Ter, South Miami, FL 331434634.
What is Mario J Fonseca's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mario J Fonseca's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date was the 1124082003 assigned to Mario J Fonseca?
The Mario J Fonseca was issued its 1124082003 on 2006-04-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Mario J Fonseca, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mario J Fonseca, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-01-05.