Clinisanitas, PC

Organization Active NPI Family Medicine Physician · Orange, CT

NPI 1821476540 · NPPES record last updated Sep 29, 2016

Key facts

NPI
1821476540
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
CLINISANITAS, PC
Practice address
100 Boston Post Rd
Orange, CT 06477-3233
Phone
(305) 921-7621
Fax
(305) 921-7355
NPI assigned
May 14, 2015
Organization subpart
No

Authorized official

Name
Mr. Fernando Fonseca, M.D.
Title
Ceo
Phone
(305) 921-7621

National Provider Directory

Locations

8400 NW 33rd St
Ste 100
Doral, FL 33122

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X Yes

Addresses

Primary practice location

100 Boston Post Rd
Orange, CT 06477-3233

Mailing address

8400 NW 33Rd St
Suite 100
Doral, FL 33122-1937
Phone (305) 921-7621

Other providers in Orange, CT

All providers in Orange, CT · Family Medicine Physician in Connecticut

Sources for this page

Verify at the official NPI Registry.