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

Dr. Mario J Fonseca, MD

Individual provider Family Medicine Physician · NPI 1124082003

Dr. Mario J Fonseca, MD is a Family Practice in South Miami, Florida. Qualified in 1981, 45 years ago. Accepts Medicare assignment. Licensed in Florida.

Years since qualifying
45
Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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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 number1124082003
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 17, 2006
Last updated in NPPESJanuary 5, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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