Gonzalo Mosquera, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0071342 Issued in FL

Practice address

1129 Nikki View Dr
Brandon, FL 33511-4879

Phone

(813) 380-1761

Fax

(813) 571-3311

NPI assigned

May 3, 2006

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Gonzalo Mosquera MD LLC

  • Clinic/Center
  • Orlando, FL
  • NPI 1497109383
  NPD (past) Authorized official
• Advanced Medical Pharmacy, Inc.

  • Pharmacy
  • Brandon, FL
  • NPI 1639470362
  NPD (past)
• GMS Florida West Coast Inc

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1184681355

  Internal Medicine

  NPD (past)
• Wellmed Medical Management of Florida Inc

  • Family Medicine Physician
  • Port St Lucie, FL
  • NPI 1033395397
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317340800000",
    "number": "1609834233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 NIKKI VIEW DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114879",
            "telephone_number": "813-380-1761",
            "fax_number": "813-571-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 NIKKI VIEW DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114879",
            "telephone_number": "813-380-1761",
            "fax_number": "813-571-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSQUERA",
        "first_name": "GONZALO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2011-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0071342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Salvatore Mortellaro Jr., DMD
• Amber Mortillo
• Paul Mosad, DMD
• Malachi Moses
• Estephanie Lee Mosquera-Ortiz
• Courtney Mossing
• Amir Mostatabzadeh
• Motus Vita Physical Therapy
• Walid Moughabel, DO
• Ashley L Mouradian, PTA

• Internal Medicine Physician in Brandon, FL
• Providers in Brandon, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; 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.