Active NPI
John Liber Mosquera Castro, CP/LP
- Specialist
- Boca Raton, FL
National Provider Identifier
1396297982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PRO 174
- Practice address
- 1700 N Dixie Hwy Ste 107
Boca Raton, FL 33432-1807 - Phone
- (754) 244-4028
- Fax
- (855) 611-8511
- NPI assigned
- Oct 28, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | PRO 174 | FL | Primary |
Addresses
Primary practice location
1700 N Dixie Hwy Ste 107
Boca Raton, FL 33432-1807
Mailing address
1700 N Dixie Hwy Ste 107
Boca Raton, FL 33432-1807
Phone (754) 244-4028
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PRO 174 | FL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prosthetic Technology Center, Inc | Current | Accepting new patients | |
| Prosthetic Technology Center | Current | Accepting new patients | |
| Caliber Medical Supply LLC | Past | Accepting new patients |
Locations
1700 N Dixie Hwy
Ste 107
Boca Raton, FL 33432
Phone (562) 373-8667
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Prosthetic/Orthotic Supplier
- Boca Raton, FL
- NPI 1114479706
-
- Prosthetist
- San Antonio, TX
- NPI 1023528015
-
- Durable Medical Equipment & Medical Supplies
- Boca Raton, FL
- NPI 1215541651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477612800000",
"number": "1396297982",
"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": "754-244-4028",
"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": "754-244-4028",
"fax_number": "855-611-8511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSQUERA CASTRO",
"first_name": "JOHN",
"middle_name": "LIBER",
"credential": "CP/LP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-28",
"last_updated": "2016-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "PRO 174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- 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.