Individual provider Active NPI

Bertha Caridad Fonseca, M.D.

  • Neurology Physician
  • Coral Gables, FL
National Provider Identifier
1851592729
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME101427 Issued in FL
Practice address
747 Ponce de Leon Blvd
Suite 411
Coral Gables, FL 33134-2049
Phone
(305) 444-4175
Fax
(305) 444-4176
NPI assigned
May 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME101427 FL Primary
Specialist 174400000X ME101427 FL

Addresses

Primary practice location

747 Ponce de Leon Blvd
Suite 411
Coral Gables, FL 33134-2049

Mailing address

9960 NW 116TH Way
Suite 13
Medley, FL 33178-1167
Phone (786) 924-1311

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bertha.fonseca@fcn.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080815000330 FL Practitioner - Neurology 1153496724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Puerto Rico School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neuroscience Consultants LLPGroup PAC ID 8729040670, 109 clinicians

Practice addresses (Care Compare)

747 Ponce de Leon Blvd
Suite 411
Coral Gables, FL 33134-2073
Phone (305) 444-4175

Hospital & facility affiliations

  • America-Loving Care Home Health Inc Home health agency, Doral, FL, CCN 108241
  • Marilu Home Health Care Inc Home health agency, Doral, FL, CCN 109180
  • Baptist Hospital of Miami Hospital, Miami, FL, CCN 100008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME101427FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Neuroscience Consultants LLP Specialist CurrentSince Jul 21, 2008 Accepting new patients

Locations

747 Ponce de Leon Blvd
Ste 411
Coral Gables, FL 33134
Phone (305) 442-4116

9960 NW 116th Way
Ste 13
Medley, FL 33178

8940 SW 88th St
Ste 802E
Miami, FL 33176
Phone (305) 595-4041

Interoperability endpoints

  • Direct secure messaging: bertha.fonseca@fcn.eclinicaldirectplus.com
  • Direct secure messaging: wghbfonse@yourcarecommunity.org

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1851592729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9960 NW 116TH WAY",
            "address_2": "SUITE 13",
            "city": "MEDLEY",
            "state": "FL",
            "postal_code": "331781167",
            "telephone_number": "786-924-1311",
            "fax_number": "786-924-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 PONCE DE LEON BLVD",
            "address_2": "SUITE 411",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342049",
            "telephone_number": "305-444-4175",
            "fax_number": "305-444-4176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONSECA",
        "first_name": "BERTHA",
        "middle_name": "CARIDAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME101427",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME101427",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bertha.fonseca@fcn.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "747 Ponce De Leon Blvd",
            "address_2": "Suite 411",
            "city": "Coral Gables",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331342049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.