Individual
MARIO JOSE FONSECA-PARICIO
Active
Individual
MARIO JOSE FONSECA-PARICIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME175850
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME175850
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036.156755
STATE OF ILLINOIS
IL
05
—
1346747292
—
PA
01
—
ME175850
MEDICAL LICENSE
FL
Enumeration date
04/08/2018
Last updated
08/25/2025
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