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

Jorge Luis Fonseca

Individual provider Athletic Trainer · NPI 1457718488

Jorge Luis Fonseca is an Athletic Trainer in McCordsville, Indiana. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2

Practice location Address checks out

8825 N Fawn Meadow Dr
McCordsville, IN 46055-9291
Phone: (563) 663-6392
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1457718488
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 21, 2016
Last updated in NPPESJanuary 21, 2016
Mailing address8825 N Fawn Meadow Dr, McCordsville, IN 46055-9291

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