Individual
EDILBERTO FONSECA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARRT
Contact information
Practice address
900 W 49TH ST STE 319, HIALEAH, FL 33012-3435
(786) 498-7270
Mailing address
900 W 49TH ST STE 319, HIALEAH, FL 33012-3435
(786) 498-7270
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
CRT68319
FL
Other
Enumeration date
01/19/2026
Last updated
01/19/2026
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