Juan Carlos Fonseca Milian, MD

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

1499 Issued in FL

Practice address

6850 W 12TH Ave
Hialeah, FL 33014-5114

Phone

(786) 930-3761

Fax

(786) 245-0751

NPI assigned

Sep 5, 2022

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• LC Health Management LLC

  • Family Medicine Physician
  • Miami, FL
  • NPI 1568000164
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1336860774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 SW 84TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551051",
            "telephone_number": "786-930-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 W 12TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330145114",
            "telephone_number": "786-930-3761",
            "fax_number": "786-245-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONSECA MILIAN",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-05",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PR",
            "license": "022867",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "1499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberto Fojo Jr., M.D., M.B.A.
• Anca Maria Folea, R.D.
• Jorge A Fong, ARNP
• Vilmarie Yasmin Fong, APRN
• Irina Fonseca Cruz
• Luis Roberto Fonseca Toranzo
• Osmaida Fonseca Veloso
• Alejandro Fonseca
• Edilberto Fonseca, ARRT
• Kimberly Francini Fonseca

• Primary Care Clinic/Center in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.