Individual provider · Type 1 NPI
Juan Carlos Fonseca Milian, MD
Primary Care Clinic/Center · Hialeah, FL
NPI number
1336860774
Active
Practice location
6850 W 12th Ave
Hialeah, FL 33014-5114
Fax (786) 245-0751
Mailing address
2025 SW 84th Ct
Miami, FL 33155-1051
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 022867 (PR) |
| Primary Care Clinic/Center Primary | 261QP2300X | 1499 (FL) |
Primary Care Clinic/Center: Definition to come...
3 other providers at this address
Other primary care clinic/center providers in Hialeah
About NPI 1336860774
Juan Carlos Fonseca Milian, MD's National Provider Identifier is 1336860774, issued on Sep 5, 2022. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Hialeah, FL. The record was last updated on Aug 2, 2023.