Agustin Rogelio Mosqueda Garcia, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

026526 Issued in TN

Practice address

300 Captain Robinson Dr
Avondale, PA 19311-9618

Phone

(302) 379-9676

NPI assigned

Nov 12, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1326640574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BARR HARBOR DR STE 2004",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194282977",
            "telephone_number": "484-533-7904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CAPTAIN ROBINSON DR",
            "city": "AVONDALE",
            "state": "PA",
            "postal_code": "193119618",
            "telephone_number": "302-379-9676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSQUEDA GARCIA",
        "first_name": "AGUSTIN",
        "middle_name": "ROGELIO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-12",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "026526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maximum Fitness Inc
• Katrina Lynn Mellott, BCBA
• Richard Peter Miscichowski, MSPT
• Eric Patrick Mogck, MPT
• Brian Mooney, HOME MODIFICATIONS
• Steven Mullarkey
• Claire Mulligan, MS CCC-SLP
• Kevin Wright O'Neill, PT
• Gwendolyn Grace Oscar, LPTA
• Gregory William Parsons, D.C.

• Cardiovascular Disease Physician in Avondale, PA
• Providers in Avondale, PA by specialty
• Cardiovascular Disease Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.