Clinisanitas, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 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

Last updated

Sep 29, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Fernando Fonseca, M.D.

Title

Ceo

Phone

(305) 921-7621

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1821476540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 NW 33RD ST",
            "address_2": "SUITE 100",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221937",
            "telephone_number": "305-921-7621",
            "fax_number": "305-921-7355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BOSTON POST RD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773233",
            "telephone_number": "305-921-7621",
            "fax_number": "305-921-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINISANITAS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-14",
        "last_updated": "2016-09-29",
        "status": "A",
        "authorized_official_last_name": "FONSECA",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-921-7621",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Princess Ujum Chukwuneke
• Madelyn Ciskowski
• Clinisanitas, PC
• Clinisanitas, PC
• Clinisanitas, PC
• Nora Cody
• Marcia Goby Cohen, R.PH
• Jennifer Cole, APRN
• Eldon John Colonies
• Joan Combellick, CNM

• Family Medicine Physician in Orange, CT
• Providers in Orange, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.