Organization Active NPI

Mark Alexander Fonseca Arnp, LLC

  • Adult Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1760991988
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP9309582 Issued in FL
Legal business name
MARK ALEXANDER FONSECA ARNP, LLC
Practice address
51 SW 134TH CT
Miami, FL 33184-1177
Phone
(786) 493-6556
NPI assigned
Sep 20, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Mark Alexander Fonseca, MSN, ARNP, AGPCNP-BCNPI 1346608726
Title
Cco
Phone
(786) 493-6556

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP9309582 FL Primary
Gerontology Nurse Practitioner 363LG0600X ARNP9309582 FL

Addresses

Primary practice location

51 SW 134TH CT
Miami, FL 33184-1177

Mailing address

10310 SW 142ND CT
Miami, FL 33186-8422
Phone (786) 493-6556

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1760991988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10310 SW 142ND CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331868422",
            "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": {
        "organization_name": "MARK ALEXANDER FONSECA ARNP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FONSECA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "CCO",
        "authorized_official_telephone_number": "786-493-6556",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSN, ARNP, AGPCNP-BC"
    },
    "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": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.