Fonseca, Alvaro Humberto

Fonseca, Alvaro Humberto is an individual health care provider with primary practice located at 4750 Waters Ave Ste 202 , Savannah GA 31404-6278. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is his primary health care specialty. Fonseca, Alvaro Humberto can be contacted via phone (912) 350-7412.

Contact Information

Primary practice address
4750 Waters Ave Ste 202 Savannah GA 31404-6278
Phone: (912) 350-7412
Fax: (912) 350-7297
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 053906 Georgia
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 053906 Georgia
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 053906 Georgia

Profile Details

NPI number 1740225499
LBN Legal business name Fonseca, Alvaro Humberto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Jan 26th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740225499 NPPES
Georgia Other 349764 WELLCARE
Georgia Other 10064458 WELLCARE
Georgia MEDICAID G53906 WELLCARE
Georgia Other P00358210 WELLCARE
Georgia MEDICAID 984016809A WELLCARE

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