Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mario J Fonseca, MD, PA

Organization Family Medicine Physician · NPI 1811287667

Mario J Fonseca, MD, PA is a Family Medicine Physician in South Miami, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7325 SW 63rd Ave Ste 201
South Miami, FL 33143-4811
Phone: (305) 669-9404
Fax: (305) 669-9660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 65287 (FL)

Record details

NPI number1811287667
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mario Fonseca — President · (305) 669-9404
NPI enumeratedApril 13, 2011
Last updated in NPPESApril 13, 2011
Mailing address7325 Sw 63rd Ave, Suite 201, South Miami, FL 33143-4811

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