MARINA FONSECA
NPI 1790571792
Student in an Organized Health Care Education/Training Program in Phoenix, AZ
About Marina Fonseca NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARINA FONSECA (NPI 1790571792) is an individual student in an organized health care education/training program in Phoenix, Arizona and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and maintains a secondary practice location in Phoenix.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Marina Fonseca is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHOENIX, AZ 85013
PHOENIX, AZ 85013
PHOENIX, AZ 85013
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Marina Fonseca's NPI number?
The NPI number for Marina Fonseca is 1790571792. It was assigned to this individual provider in the NPPES registry on April 16, 2025.
Where is Marina Fonseca located?
Marina Fonseca practices at 350 W Thomas Rd, Phoenix, AZ 85013. The listed phone number is (970) 227-0330.
What is Marina Fonseca's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Marina Fonseca enrolled in Medicare?
Yes. Marina Fonseca is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Marina Fonseca was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Marina Fonseca · NPI 1790571792
Student in an Organized Health Care Education/Training Program provider in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since April 16, 2025.
## Identity
- **NPI:** 1790571792 (Entity type: Individual)
- **Enumerated:** April 16, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 350 W THOMAS RD, Phoenix, AZ 85013-4409
- **Phone:** (970) 227-0330
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1790571792) · Data from the CMS NPPES public registry.