| Doctor Name: | DR. ORLANDO FONSECA |
| NPI Number: | 1760564611 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | GENERAL PRACTICIONER |
| License Number: | 7860 |
| Business Practice Address: | 204 Calle 5 Toa Alta, PR - 009531831 |
| Business Phone Number: | 7874064342 |
| Business Fax Number: | |
| Mailing Address: | Calle 5 #204 Urb. Jardines De Toa Alta, TOA ALTA |
| State: | PR |
| Postal Code: | 00954 |
| Phone Number: | 7874064342 |
| Fax Number: | |
| NPI Enumeration Date: | 10/19/2006 |
| NPI Last Update Date: | 04/09/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 7860 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |