Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEVORATH FONSECA
Active Sole ProprietorEnd-Stage Renal Disease Treatment Facility · MIAMI, FL
Registration Details
- NPI Number
- 1447009741
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 17, 2024 (1.9320624420297 yrs)
- Last Updated
- Jun 25, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
2720 SW 97TH AVE APT 201MIAMI, FL, 331652680Browse FL providers · Browse ZIP 33165
- Phone
- 7869639155
- Fax
- 7869639181
- Primary Specialty
-
End-Stage Renal Disease Treatment Facility
261QE0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.