Active NPI 1114230232 Individual Practitioner Male Practitioner

Ernest Fontecha

Internal Medicine • Riverview, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Ernest Fontecha is a certified Internal Medicine practicing in Riverview, FL. With approximately 17 years of clinical experience since completing medical education in 2009, Ernest Fontecha delivers high-quality medical care to the local community at 3140 S FALKENBURG RD STE 302.

Ernest Fontecha is affiliated with Tampa General Medical Group Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3140 S Falkenburg Rd Ste 302

Riverview, FL 335782594

Telephone 8136606400

Fax 8136606699

Associated Practice Facility / Clinic

🏢 Tampa General Medical Group Inc Facility NPI 1205416617

Medicare Profile & Education

Medical School

Other

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Riverview, FL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs -4.4 yrs vs City Avg

City Avg: 21.4 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

32 Specialists

Practicing in Riverview, FL (10650 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

56.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fontecha (17 Years) 17 Yrs

Riverview Specialty Average (21.4 Years) 21.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	86	56	$271.00	$124.53
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	32	23	$40.00	$16.10
99213 Established patient office or other outpatient visit, typically 15 minutes	25	23	$187.00	$88.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$413.00	$164.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	227	154	$297.87	$91.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	225	140	$418.41	$121.00
36415 Insertion of needle into vein for collection of blood sample	170	98	$9.00	$8.35
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	154	96	$23.31	$7.61
80053 Blood test, comprehensive group of blood chemicals	150	89	$31.68	$10.27
84550 Uric acid level, blood	138	81	$13.56	$4.43
83615 Lactate dehydrogenase (enzyme) level	136	79	$18.12	$5.92
83721 Ldl cholesterol level	129	74	$31.50	$10.29
83735 Magnesium level	129	74	$20.10	$6.57
80061 Blood test, lipids (cholesterol and triglycerides)	127	72	$40.17	$13.12
82977 Glutamyltransferase (liver enzyme) level	116	68	$21.60	$7.06
82306 Vitamin d-3 level	111	70	$88.80	$29.01
86328 Test for detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody, qualitative or semiquantitative	85	59	$135.84	$44.37
83525 Insulin measurement, total	75	43	$34.29	$11.20
84681 C-peptide (protein) level	65	38	$62.43	$20.39
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	63	56	$153.93	$50.28
93000 Routine ekg using at least 12 leads including interpretation and report	63	60	$48.00	$16.17
84480 Thyroid hormone, t3 measurement, total	63	57	$42.54	$13.90
84443 Blood test, thyroid stimulating hormone (TSH)	62	56	$50.40	$16.46
84439 Thyroxine (thyroid chemical), free	62	56	$27.06	$8.84
83036 Hemoglobin A1C level	62	36	$29.13	$9.52
82607 Cyanocobalamin (vitamin B-12) level	58	56	$45.24	$14.78
82746 Folic acid level	57	55	$44.10	$14.41
83550 Iron binding capacity	56	55	$26.22	$8.57
83540 Iron level	56	55	$19.41	$6.34
82728 Ferritin (blood protein) level	56	55	$40.89	$13.36
82550 Creatine kinase (cardiac enzyme) level, total	55	54	$19.53	$6.38
83970 Parathormone (parathyroid hormone) level	55	55	$123.84	$40.45
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	53	53	$12.81	$4.18
71046 X-ray of chest, 2 views	52	48	$115.59	$38.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$367.86	$123.91
87631 Detection test for multiple types of respiratory virus	41	39	$427.89	$139.78
82570 Creatinine level to test for kidney function or muscle injury	36	30	$15.54	$5.08
82043 Urine microalbumin (protein) level	36	30	$17.34	$5.66
81002 Urinalysis, manual test	35	31	$10.44	$3.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	32	$193.11	$62.47
94010 Test to measure expiratory airflow and volume	30	30	$91.53	$30.83
83695 Lipoprotein (a) level	28	24	$42.96	$14.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$536.74	$182.87
84403 Testosterone (hormone) level, total	23	21	$77.43	$25.29
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	20	$584.73	$164.98
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	20	13	$47.01	$15.84
82270 Stool analysis for blood to screen for colon tumors	20	20	$13.14	$4.29
81003 Automated urinalysis test	19	19	$6.75	$2.20
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	19	17	$49.59	$16.20
90471 Administration of 1 vaccine	16	15	$68.19	$22.95
G0442 Annual alcohol misuse screening, 5 to 15 minutes	14	14	$62.52	$20.82
92552 Test for hearing various pitches using earphone	12	12	$124.50	$41.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	232	160	$256.28	$95.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	218	143	$413.10	$123.58
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	166	143	$153.93	$50.64
36415 Insertion of needle into vein for collection of blood sample	152	97	$9.00	$2.96
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	140	100	$23.31	$7.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	115	115	$355.65	$125.50
80053 Blood test, comprehensive group of blood chemicals	106	71	$31.68	$10.40
84550 Uric acid level, blood	92	60	$13.56	$4.46
83615 Lactate dehydrogenase (enzyme) level	92	60	$18.12	$5.97
83735 Magnesium level	90	55	$20.10	$6.62
86328 Test for detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody, qualitative or semiquantitative	89	54	$135.69	$44.75
80061 Blood test, lipids (cholesterol and triglycerides)	88	54	$40.17	$13.23
83721 Ldl cholesterol level	87	54	$31.50	$10.38
82306 Vitamin d-3 level	79	51	$88.80	$29.26
82977 Glutamyltransferase (liver enzyme) level	70	47	$21.60	$7.11
71046 X-ray of chest, 2 views	65	60	$111.88	$39.80
93000 Routine ekg using at least 12 leads including interpretation and report	54	53	$47.19	$16.21
83525 Insulin measurement, total	50	27	$34.29	$11.29
84439 Thyroxine (thyroid chemical), free	48	41	$27.06	$8.92
84443 Blood test, thyroid stimulating hormone (TSH)	47	41	$50.40	$16.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$531.52	$185.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	41	$182.97	$64.71
84480 Thyroid hormone, t3 measurement, total	44	39	$42.54	$14.03
84681 C-peptide (protein) level	42	24	$62.43	$20.55
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	40	40	$12.81	$4.22
83540 Iron level	38	37	$19.41	$6.40
83550 Iron binding capacity	38	37	$26.22	$8.64
82728 Ferritin (blood protein) level	38	38	$40.89	$13.49
82550 Creatine kinase (cardiac enzyme) level, total	37	37	$19.53	$6.43
83970 Parathormone (parathyroid hormone) level	37	37	$123.84	$40.83
87631 Detection test for multiple types of respiratory virus	36	35	$427.89	$140.06
82607 Cyanocobalamin (vitamin B-12) level	36	36	$45.24	$14.91
82746 Folic acid level	36	36	$44.10	$14.54
83036 Hemoglobin A1C level	34	23	$29.13	$9.58
80048 Blood test, basic group of blood chemicals (calcium, total)	32	31	$25.38	$8.34
81002 Urinalysis, manual test	31	30	$10.44	$3.43
80076 Liver function blood test panel	23	22	$24.51	$8.07
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	21	$575.61	$163.39
J1885 Injection, ketorolac tromethamine, per 15 mg	20	13	$1.65	$0.59
90471 Administration of 1 vaccine	20	19	$57.83	$19.18
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	20	20	$46.26	$16.27
84403 Testosterone (hormone) level, total	17	16	$77.43	$25.50
90662 Influenza vaccine split virus, preservative free	17	16	$195.78	$68.15
G0442 Annual alcohol misuse screening, 5 to 15 minutes	16	16	$63.34	$21.54
G0008 Administration of influenza virus vaccine	16	16	$102.09	$33.73
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	15	15	$45.27	$16.24
81003 Automated urinalysis test	15	15	$7.23	$2.22
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	14	14	$135.69	$41.48
82270 Stool analysis for blood to screen for colon tumors	14	14	$13.14	$4.31
73564 X-ray of knee, 4 or more views	12	11	$154.86	$55.31
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$232.86	$82.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	243	160	$413.10	$141.57
99213 Established patient office or other outpatient visit, typically 15 minutes	237	163	$256.40	$101.09
36415 Insertion of needle into vein for collection of blood sample	147	111	$9.00	$3.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	130	129	$355.53	$128.52
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	128	110	$168.83	$51.31
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	81	65	$23.31	$7.77
80053 Blood test, comprehensive group of blood chemicals	78	63	$31.68	$10.56
71046 X-ray of chest, 2 views	61	56	$111.72	$40.13
83735 Magnesium level	59	47	$20.10	$6.70
80061 Blood test, lipids (cholesterol and triglycerides)	58	47	$40.17	$13.39
83721 Ldl cholesterol level	58	47	$31.50	$10.50
84550 Uric acid level, blood	55	43	$13.56	$4.52
83615 Lactate dehydrogenase (enzyme) level	53	41	$18.12	$6.04
86328 Test for detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody, qualitative or semiquantitative	52	46	$139.62	$45.23
93000 Routine ekg using at least 12 leads including interpretation and report	52	49	$47.19	$17.12
82306 Vitamin d-3 level	49	43	$88.80	$29.60
82977 Glutamyltransferase (liver enzyme) level	45	33	$21.60	$7.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	30	$182.85	$63.59
83036 Hemoglobin A1C level	29	24	$29.13	$9.71
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	26	$575.61	$198.67
83525 Insulin measurement, total	27	23	$34.29	$11.43
99202 New patient office or other outpatient visit, typically 20 minutes	26	26	$232.86	$84.28
84443 Blood test, thyroid stimulating hormone (TSH)	26	22	$50.40	$16.80
81003 Automated urinalysis test	25	25	$6.75	$2.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$531.18	$190.71
84439 Thyroxine (thyroid chemical), free	23	19	$27.06	$9.02
82728 Ferritin (blood protein) level	23	22	$40.89	$13.63
83540 Iron level	22	21	$19.41	$6.47
82550 Creatine kinase (cardiac enzyme) level, total	22	20	$19.53	$6.51
82607 Cyanocobalamin (vitamin B-12) level	22	21	$45.24	$15.08
84480 Thyroid hormone, t3 measurement, total	22	19	$42.54	$14.18
81002 Urinalysis, manual test	21	19	$10.44	$3.48
84681 C-peptide (protein) level	21	17	$62.43	$20.81
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	20	18	$12.81	$4.27
82746 Folic acid level	19	18	$44.10	$14.70
83970 Parathormone (parathyroid hormone) level	18	17	$123.84	$41.28
99497 Advance care planning, first 30 minutes	14	13	$266.07	$95.69
G0442 Annual alcohol misuse screening, 5 to 15 minutes	13	13	$62.40	$21.92
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	13	11	$49.59	$16.53
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	13	13	$82.50	$30.00
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	13	12	$87.48	$30.00
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	11	11	$46.26	$16.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	283	203	$122.61	$119.06
36415 Insertion of needle into vein for collection of blood sample	241	191	$3.00	$2.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	210	209	$121.57	$121.57
99213 Established patient office or other outpatient visit, typically 15 minutes	199	155	$85.01	$83.54
93000 Routine ekg using at least 12 leads including interpretation and report	61	59	$19.55	$19.54
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	60	59	$45.23	$45.23
80053 Blood test, comprehensive group of blood chemicals	59	54	$10.56	$10.55
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	59	55	$7.77	$7.76
99202 New patient office or other outpatient visit, typically 20 minutes	55	55	$93.94	$86.26
83735 Magnesium level	55	50	$6.70	$6.69
71046 X-ray of chest, 2 views	54	52	$38.19	$37.46
G0008 Administration of influenza virus vaccine	51	51	$28.78	$19.05
83615 Lactate dehydrogenase (enzyme) level	49	44	$6.04	$6.03
84550 Uric acid level, blood	49	44	$4.52	$4.51
86328 Test for detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody, qualitative or semiquantitative	45	37	$45.23	$45.23
80061 Blood test, lipids (cholesterol and triglycerides)	42	39	$13.39	$13.37
90662 Influenza vaccine split virus, preservative free	41	41	$60.98	$60.98
82306 Vitamin d-3 level	41	36	$39.80	$29.56
83721 Ldl cholesterol level	40	37	$10.50	$10.48
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	36	35	$164.16	$162.66
81003 Automated urinalysis test	35	31	$2.25	$2.25
G0442 Annual alcohol misuse screening, 5 to 15 minutes	32	32	$22.38	$20.84
82977 Glutamyltransferase (liver enzyme) level	32	30	$7.20	$7.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$184.21	$176.07
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	21	21	$29.16	$29.13
99497 Advance care planning, first 30 minutes	20	20	$94.87	$94.78
81002 Urinalysis, manual test	20	20	$3.48	$3.48
84443 Blood test, thyroid stimulating hormone (TSH)	19	17	$16.80	$16.80
82728 Ferritin (blood protein) level	19	18	$18.33	$13.63
83540 Iron level	18	17	$6.47	$6.47
82550 Creatine kinase (cardiac enzyme) level, total	18	18	$6.51	$6.51
83550 Iron binding capacity	18	17	$8.74	$8.74
83036 Hemoglobin A1C level	17	17	$9.71	$9.69
84439 Thyroxine (thyroid chemical), free	17	15	$9.02	$9.02
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	17	17	$50.47	$50.47
84480 Thyroid hormone, t3 measurement, total	17	17	$14.18	$14.18
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	16	16	$4.27	$4.27
82607 Cyanocobalamin (vitamin B-12) level	15	14	$15.08	$15.08
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	15	15	$130.94	$130.77
82746 Folic acid level	15	14	$14.70	$14.70
83970 Parathormone (parathyroid hormone) level	14	14	$41.28	$41.28
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	14	14	$29.16	$29.12
84681 C-peptide (protein) level	12	12	$20.81	$20.81
90682 Influenza vaccine, quadrivalent derived from recombinant dna	12	12	$60.98	$60.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$52.02	$52.02
83525 Insulin measurement, total	12	12	$11.43	$11.43
69210 Removal of impacted ear wax	11	11	$54.43	$54.35
93923 Complete ultrasound study of arm and leg arteries	11	11	$157.66	$124.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
82962 Blood glucose (sugar) test performed by hand-held instrument	63	27	$24.00	$3.21
81002 Urinalysis, manual test	46	25	$21.00	$3.41
83036 Hemoglobin A1C level	41	24	$76.00	$10.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
82962 Blood glucose (sugar) test performed by hand-held instrument	152	42	$24.00	$3.21
81002 Urinalysis, manual test	98	38	$21.00	$3.41
83036 Hemoglobin A1C level	82	35	$76.00	$11.75
36415 Insertion of needle into vein for collection of blood sample	24	17	$21.00	$2.94
93000 Routine ekg using at least 12 leads including interpretation and report	19	18	$92.00	$17.94
G0008 Administration of influenza virus vaccine	14	14	$25.00	$21.47
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	13	13	$53.00	$18.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
82962 Blood glucose (sugar) test performed by hand-held instrument	62	30	$24.00	$3.15
36415 Insertion of needle into vein for collection of blood sample	47	37	$21.00	$2.94
81002 Urinalysis, manual test	40	25	$21.00	$3.43
83036 Hemoglobin A1C level	31	20	$76.00	$13.05
G0009 Administration of pneumococcal vaccine	14	14	$37.00	$26.83
90670 Pneumococcal vaccine for injection into muscle	11	11	$146.00	$143.08

Medical Specialties & State Licenses

CMS Verified: 2024-03-05

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL ME166594

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License CA A139358

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License IL 125057972

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License NJ 25MA10668500

Hospital & Practice Group Affiliations

Tampa General Medical Group Inc

3140 S Falkenburg Rd, Riverview, FL 335782594

Phone: 8136606400

Secondary Practice Locations

456 Prospect Ave

West Orange, NJ 070524112

Phone: 9737316767

50100 Golsh Rd

Valley Center, CA 92082

Phone: 7607491410

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Colleen Miller-Owen , APN

Nurse Practitioner

NPI 1346510492

Advanced Practice Nurse

Dr. Linda Maynard , MD

Internal Medicine

NPI 1366597049

Doctor of Medicine (M.D.)

Dr. Mildred Garcia Rodriguez , MD

Internal Medicine - Gastroenterology

NPI 1528295235

Doctor of Medicine (M.D.)

Dr. Adam Bulter , MD

Surgery

NPI 1598114969

Doctor of Medicine (M.D.)

Dr. Darshan Mistry , MD

Internal Medicine

NPI 1811004773

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events

📍

Updated Practice Location March 05, 2024

Registered at 3140 S FALKENBURG RD STE 302, RIVERVIEW, FL 335782594 (Tel: 8136606400)

📍

Updated Business Mailing Address March 05, 2024

Registered at PO BOX 1289, TAMPA, FL 336011289 (Tel: 8136606400)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2024

Internal Medicine (License #A139358 in CA)

📍

Updated Practice Location July 08, 2020

Registered at 456 PROSPECT AVE, WEST ORANGE, NJ 070524112 (Tel: 9737316767)

📍

Updated Business Mailing Address July 08, 2020

Registered at 328 W SAINT GEORGES AVE, LINDEN, NJ 070365638 (Tel: 9089257519)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2020

Internal Medicine (License #125057972 in IL)

📍

Updated Practice Location June 27, 2018

Registered at 50100 GOLSH RD, VALLEY CENTER, CA 92082 (Tel: 7607491410)

📍

Updated Business Mailing Address June 27, 2018

Registered at 50100 GOLSH RD, VALLEY CENTER, CA 920825338 (Tel: 7607491410)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2018

Internal Medicine (License #A139358 in CA)

✅

NPI Profile Active July 18, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location July 18, 2010

Registered at 1653 W CONGRESS PKWY, CHICAGO, IL 606123833 (Tel: 3129425000)

📍

Updated Business Mailing Address July 18, 2010

Registered at 101 W SUPERIOR ST, SUITE 802, CHICAGO, IL 606547654

👤

Provider Name / Credentials Updated July 18, 2010

Recorded as ERNEST FONTECHA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2010

Internal Medicine (License #125057972 in IL)

🟢

Initial NPI Registration & Enumeration July 18, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1114230232

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 18, 2010

Last Update: March 05, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 1289

Tampa, FL 336011289

Phone: 8136606400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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