Ms Ingrid Michelle Fonseca, is a
Developmental Therapist based in West Palm Beach, Florida. Ms Ingrid Michelle Fonseca is licensed to practice in * (Not Available) (license number ) and her current practice location is
255 Walton Blvd, Suite #3, West Palm Beach, Florida. She can be reached at her office (for appointments etc.) via phone at
(561) 574-6521.
NPI number for Ms Ingrid Michelle Fonseca is 1336315191 and her current mailing address is 255 Walton Blvd, Suite #3, West Palm Beach, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336315191.
Healthcare Provider's Profile
| Full Name | Ms Ingrid Michelle Fonseca |
|---|
| Gender | Female |
|---|
| Speciality | Developmental Therapist |
|---|
| Location | 255 Walton Blvd, West Palm Beach, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1336315191
- Provider Enumeration Date: 05/01/2008
- Last Update Date: 05/01/2008
Medical Identifiers
Medical identifiers for Ms Ingrid Michelle Fonseca such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336315191 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP1600X | Counselor - Pastoral | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| 132700000X | Dietary Manager | (* (Not Available)) | Secondary |
| 173C00000X | Reflexologist | (* (Not Available)) | Secondary |
| 1744G0900X | Specialist - Graphics Designer | (* (Not Available)) | Secondary |
| 222Q00000X | Developmental Therapist | (* (Not Available)) | Primary |
| 225700000X | Massage Therapist | (* (Not Available)) | Secondary |
| 225C00000X | Rehabilitation Counselor | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Ingrid Michelle Fonseca is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Ingrid Michelle Fonseca,
255 Walton Blvd, Suite #3,
West Palm Beach, FL 33405-2380
Ph: (561) 574-6521 | Ms Ingrid Michelle Fonseca,
255 Walton Blvd, Suite #3,
West Palm Beach, FL 33405-2380
Ph: (561) 574-6521 |
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