Ramon Augusto Fonseca, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME107203 Issued in FL

Practice address

2801 17TH St Unit 102
Saint Cloud, FL 34769-4939

Phone

(407) 519-2930

Fax

(407) 556-3565

NPI assigned

Aug 16, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ramon.fonseca.1@30425.direct.athenahealth.com

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.

• Community Health Centers, Inc

  • Community/Retail Pharmacy
  • Apopka, FL
  • NPI 1134258684
  Medicare reassignment NPD
• Fonseca Pediatrics LLC

  • Pediatrics Physician
  • Saint Cloud, FL
  • NPI 1881475762
  NPD Authorized official
• Community Health Centers, Inc

  • Primary Care Clinic/Center
  • Apopka, FL
  • NPI 1154405421
  NPD
• Community Health Centers, Inc

  • Primary Care Clinic/Center
  • Orlando, FL
  • NPI 1396829677
  NPD
• Community Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Orlando, FL
  • NPI 1710259965
  NPD

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1700078490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 17TH ST UNIT 102",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347694939",
            "telephone_number": "407-519-2930",
            "fax_number": "407-556-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 17TH ST UNIT 102",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347694939",
            "telephone_number": "407-519-2930",
            "fax_number": "407-556-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONSECA",
        "first_name": "RAMON",
        "middle_name": "AUGUSTO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-16",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME107203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002996100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Florida Woman Care, LLC
• Francheska Floyd
• Fonseca Pediatrics LLC
• Felipe Fonseca, LMHC, MCAP
• Kaitlyn M Fonseca
• Jessica Erin Foor, P.T.A.
• Footprints on the Moon Massage and Bodywork, LLC
• Lynden Alfred Forbes
• Mikel Forero
• Claribel Fortuno, RN

• Pediatrics Physician in Saint Cloud, FL
• Providers in Saint Cloud, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.