Individual provider · Type 1 NPI

Gladys Maria Fonseca

Contractor · Miramar, FL

NPI number 1457573123 Active

Practice location

6550 SW 28th St
Miramar, FL 33023-3823

Fax (954) 364-4882

Mailing address

7333 Miami Lakes Dr, #669
Miami Lakes, FL 33014-6903

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000XNA (FL)

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1457573123

Gladys Maria Fonseca's National Provider Identifier is 1457573123, issued on May 3, 2007. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Miramar, FL. The record was last updated on Nov 1, 2026.