Jose Miguel Fonseca Alfonso, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11015275 Issued in FL

Practice address

4435 SW 2ND St
Coral Gables, FL 33134-1524

Phone

(305) 846-0675

NPI assigned

Sep 28, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

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.

• Henry E Paez M D P a

  • Family Medicine Physician
  • Miami, FL
  • NPI 1649310491
  Medicare reassignment NPD
• Luis del Prado MD PA Corp

  • Family Medicine Physician
  • Miami, FL
  • NPI 1235567744
  Medicare reassignment NPD
• Bayamo Medical Center Inc

  • Family Medicine Physician
  • Miami, FL
  • NPI 1740851450
  NPD

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1346912367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4435 SW 2ND ST",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341524",
            "telephone_number": "305-846-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4435 SW 2ND ST",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341524",
            "telephone_number": "305-846-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONSECA ALFONSO",
        "first_name": "JOSE",
        "middle_name": "MIGUEL",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11015275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florida Staffing Medical Company
• Florida United Radiology
• Florida Wellness & Rehabilitation Center of Little Havana LLC
• Jalen Foncette
• Fong Mental & Spiritual Massage Therapy, Inc.
• Aiyana Fonseca
• Bertha Caridad Fonseca, M.D.
• Martha Lucia Fonseca, LCSW
• Otilia D Fonseca
• Denise Font, OT

• Family Nurse Practitioner in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.