Raul M Mosqueira Sr., MA 77299, PTA 30010

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA30010 Issued in FL

Practice address

2911 Bridgeport Ave
Miami, FL 33133-3607

Phone

(786) 587-4481

NPI assigned

Sep 1, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mr. Raul Mosqueira Sr. Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1124575758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 SW 27TH AVE",
            "address_2": "108",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332160",
            "telephone_number": "786-587-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 BRIDGEPORT AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331333607",
            "telephone_number": "786-587-4481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSQUEIRA",
        "first_name": "RAUL",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "MA 77299, PTA 30010",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-01",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA7299",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA30010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAUL",
            "last_name": "MOSQUEIRA",
            "prefix": "MR.",
            "suffix": "SR.",
            "credential": "NEUROMUSCULAR CERTIF",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Yasman Moshiri, MD
• Shane Mosko
• Craig H Moskowitz, MD
• Leandro Carlos Mosna, M.D
• Leticia Iliana Mosqueda, APRN, PMHNP
• Fabiola A Mosquera Gomes, DMD
• Rachel Mosquera Gonzalez
• Ketty E Mosquera Leon
• Diasnaya Mosquera Quintanal
• Alejandro Raul Mosquera, M.D.

• Physical Therapy Assistant in Miami, FL
• Providers in Miami, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; 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.