NPIMap

Organization Active NPI

Gonzalo Mosquera MD LLC

  • Clinic/Center
  • Orlando, FL
National Provider Identifier
1497109383
Registry record updated Apr 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
ME0071342 Issued in FL
Legal business name
GONZALO MOSQUERA MD LLC
Practice address
6735 Conroy Rd Ste 419
Orlando, FL 32835-3566
Phone
(813) 380-1761
NPI assigned
Apr 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2016

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

Authorized official

Name
Dr. Gonzalo Mosquera, MDNPI 1609834233
Title
Director/President
Phone
(813) 380-1761

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X ME0071342 FL Primary

Addresses

Primary practice location

6735 Conroy Rd Ste 419
Orlando, FL 32835-3566

Mailing address

17600 SW 154TH PL
Miami, FL 33187-7818
Phone (813) 380-1761

National Provider Directory

National Provider Directory
Tax ID family
Gonzalo Mosquera2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6735 Conroy Rd
Ste 419
Orlando, FL 32835
Phone (813) 380-1761

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460937600000",
    "number": "1497109383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17600 SW 154TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331877818",
            "telephone_number": "813-380-1761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6735 CONROY RD STE 419",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328353566",
            "telephone_number": "813-380-1761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GONZALO MOSQUERA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-18",
        "last_updated": "2016-04-18",
        "status": "A",
        "authorized_official_last_name": "MOSQUERA",
        "authorized_official_first_name": "GONZALO",
        "authorized_official_title_or_position": "DIRECTOR/PRESIDENT",
        "authorized_official_telephone_number": "813-380-1761",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME0071342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.