Organization Active NPI

Denio O Fonseca MD PA

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1952574386
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME13968 Issued in FL
Legal business name
DENIO O FONSECA MD PA
Practice address
2000 SW 27TH Ave
Miami, FL 33145-2546
Phone
(305) 448-1896
NPI assigned
Apr 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Denio O Fonseca
Title
President
Phone
(305) 448-1896

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME13968 FL Primary

Addresses

Primary practice location

2000 SW 27TH Ave
Miami, FL 33145-2546

Mailing address

2000 SW 27TH Ave
Miami, FL 33145-2546
Phone (305) 448-1896

Other identifiers 1

IdentifierTypeStateIssuer
047168200MedicaidFL

National Provider Directory

National Provider Directory

Locations

2000 SW 27th Ave
Ste 201
Miami, FL 33145
Phone (305) 444-2753

2000 SW 27th Ave
Miami, FL 33145
Phone (305) 448-1896

NPI Registry JSON

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1952574386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 SW 27TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452546",
            "telephone_number": "305-448-1896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 SW 27TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452546",
            "telephone_number": "305-448-1896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENIO O FONSECA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-07",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "FONSECA",
        "authorized_official_first_name": "DENIO",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-448-1896"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME13968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047168200",
            "state": "FL"
        }
    ],
    "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 24, 2008; 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.