Guillermo a. Fonseca M.D., PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME0064061 Issued in FL

Legal business name

GUILLERMO A. FONSECA M.D., PA

Practice address

14750 SW 26TH St
Suite 212-214
Miami, FL 33185-5933

Phone

(305) 223-3989

NPI assigned

Jan 16, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Guillermo Antonio Fonseca, M.D

Title

President

Phone

(305) 223-3989

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1484524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484524800000",
    "number": "1447796339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14750 SW 26TH ST",
            "address_2": "SUITE 212-214",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855933",
            "telephone_number": "305-223-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14750 SW 26TH ST",
            "address_2": "SUITE 212-214",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855933",
            "telephone_number": "305-223-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUILLERMO A. FONSECA M.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-16",
        "last_updated": "2017-01-16",
        "status": "A",
        "authorized_official_last_name": "FONSECA",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-223-3989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0064061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Michael Guillen, MD
• Stephanie Guillen
• Vanessa A. Guillen, PA-C
• Wendy A Guillen, M.S., BCBA
• Michelle Guillermez
• Yeni Guillermo Delgado, PTA
• Guillermo Jimenez PA-C PA
• Guillermo P Gubbins MD PA
• Guillermo Somodevilla MD PA
• Ivette Guillermo, D.M.D.

• Family Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.