Mark Alexander Fonseca, MSN AGPCNP-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

ARNP9309582 Issued in FL

Practice address

51 SW 134TH CT
Miami, FL 33184-1177

Phone

(786) 493-6556

NPI assigned

Feb 1, 2016

Sex

Male

Sole proprietor

No

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Miami Jewish Health Systems IncGroup PAC ID 6507856614, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

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.

• Miami Jewish Health Systems, Inc.

  • General Acute Care Hospital
  • Miami, FL
  • NPI 1851440218
  Medicare reassignment Care Compare group NPD
• Mark Alexander Fonseca Arnp, LLC

  • Adult Health Nurse Practitioner
  • Miami, FL
  • NPI 1760991988
  NPD Authorized official

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454284800000",
    "number": "1346608726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 SW 134TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331841177",
            "telephone_number": "786-493-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 SW 134TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331841177",
            "telephone_number": "786-493-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONSECA",
        "first_name": "MARK",
        "middle_name": "ALEXANDER",
        "credential": "MSN AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-01",
        "last_updated": "2016-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9309582",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP9309582",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesus R Fonseca, M.A
• Joanna Fonseca
• Leonela Fonseca
• Luis Heriberto Fonseca, D.M.D.
• Manuel Fonseca
• Marlene Fonseca
• Oscar Fonseca, MD
• Pablo Johnny Fonseca, DDS
• Sandra Maria Fonseca
• Valeria Czetyrko Fonseca, APRN

• Adult Health Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.