Prosthetic Technology Center

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

PRO 174 Issued in FL

Legal business name

PROSTHETIC TECHNOLOGY CENTER

Practice address

1700 N Dixie Hwy Ste 107
Boca Raton, FL 33432-1807

Phone

(562) 373-8667

Fax

(855) 611-8511

NPI assigned

Oct 28, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John Liber Mosquera Castro, CP/LPNPI 1396297982

Title

Licensed Prosthetist

Phone

(562) 373-8667

Specialties & licenses 1

Addresses

Other names 1

• TPC Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Liber Mosquera Castro, CP/LP

  • Specialist
  • Boca Raton, FL
  • NPI 1396297982
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477612800000",
    "number": "1114479706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 N DIXIE HWY STE 107",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334321807",
            "telephone_number": "562-373-8667",
            "fax_number": "855-611-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N DIXIE HWY STE 107",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334321807",
            "telephone_number": "562-373-8667",
            "fax_number": "855-611-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTHETIC TECHNOLOGY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-28",
        "last_updated": "2016-10-28",
        "status": "A",
        "authorized_official_last_name": "MOSQUERA CASTRO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "LIBER",
        "authorized_official_title_or_position": "LICENSED PROSTHETIST",
        "authorized_official_telephone_number": "562-373-8667",
        "authorized_official_credential": "CP/LP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "PRO 174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Prosthetic/Orthotic Supplier in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Prosthetic/Orthotic Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.