Provider Demographics
NPI:1942194857
Name:FONSECA PICHS, ALEJANDRO JOSE (RDH)
Entity type:Individual
Prefix:MR
First Name:ALEJANDRO
Middle Name:JOSE
Last Name:FONSECA PICHS
Suffix:
Gender:M
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10815 SW 145TH PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-6606
Mailing Address - Country:US
Mailing Address - Phone:754-237-8804
Mailing Address - Fax:
Practice Address - Street 1:2332 SW 82ND CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-1247
Practice Address - Country:US
Practice Address - Phone:305-267-8807
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-05
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDH33564124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist