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ALVARO HUMBERTO FONSECA M.D. NPI 1740225499


NPI Information

NPI: 1740225499
Provider Name: ALVARO HUMBERTO FONSECA, M.D.
Classification: Surgery - 2086S0127X
Entity Type: Individual

Specialization: Trauma Surgery

PECOS Registration: Yes

Address:
4750 WATERS AVE STE 202
SAVANNAH, GA
ZIP 31404
Phone: (912) 350-7412
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Alvaro Humberto Fonseca, M.D. is a trauma surgery surgery in Savannah, GA with 24 years of experience. The provider is trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. Alvaro Humberto Fonseca, M.D. NPI is 1740225499. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduation Year:2000

The provider's business location address is:

4750 WATERS AVE STE 202
SAVANNAH, GA
ZIP 31404-278
Phone: (912) 350-7412
Fax: (912) 350-7297

The NPI 1740225499 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/17/2006 and was last updated on 1/26/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgery053906GEORGIANo
22086S0102XSurgerySurgical Critical Care053906GEORGIANo
32086S0127XSurgeryTrauma Surgery053906GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
110064458OTHERGEORGIAAMERIGROUP
2G53906MEDICAIDSOUTH CAROLINA
3349764OTHERGEORGIAWELLCARE
4984016809AMEDICAIDGEORGIA
5P00358210OTHERGEORGIARR MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.