Individual provider Active NPI

Romer I Mosquera, M.D.

  • Neurology Physician
  • Miami, FL
National Provider Identifier
1790930782
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME138442 Issued in FL
Practice address
7300 SW 93Rd Ave Ste 210
Miami, FL 33173-3212
Phone
(786) 383-0173
Fax
(307) 242-1124
NPI assigned
Nov 18, 2008
Last updated
Jun 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X E-12901 AR
Neurology Physician 2084N0400X ME138442 FL Primary
Clinical Neurophysiology Physician 2084N0600X ME138442 FL
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X ME138442 FL

Addresses

Primary practice location

7300 SW 93Rd Ave Ste 210
Miami, FL 33173-3212

Mailing address

7300 SW 93Rd Ave Ste 210
Miami, FL 33173-3212
Phone (786) 383-0173

Other practice location 1

2710 S Rife Medical Ln
Rogers, AR 72758-1452
Phone (479) 636-0200

Other identifiers 1

IdentifierTypeStateIssuer
106208100MedicaidFL

Other names 1

  • Dr. Romer Isaac Mosquera Gonzalez Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200224000226 AR Practitioner - Neuropsychiatry 1153581277 Reassigns benefits to 2 organizations
I20200325001938 FL Practitioner - Neurology 1153581277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7300 SW 93Rd Ave
Suite 210
Miami, FL 33173-3212
Phone (786) 383-0173

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Northwest Arkansas Communities Single Specialty Current Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Mar 1, 2020 Accepting new patients
Mercy Health Northwest Arkansas Communities Single Specialty CurrentSince Mar 1, 2020 Accepting new patients
Mercy Health Northwest Arkansas Communities Single Specialty CurrentSince Mar 1, 2020 Accepting new patients
Neuroclinics, LLC Single Specialty CurrentSince Dec 23, 2019 Accepting new patients
Campbell County Hospital District Single Specialty Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100

2710 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 636-0200

7300 SW 93rd Ave
Ste 210
Miami, FL 33173
Phone (305) 596-3100

9360 SW 72nd St
Ste 205B
Miami, FL 33173

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: romermosquera@nl-fl.direct.office.nextgen.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1790930782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 SW 93RD AVE STE 210",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733212",
            "telephone_number": "786-383-0173",
            "fax_number": "307-242-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 SW 93RD AVE STE 210",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733212",
            "telephone_number": "786-383-0173",
            "fax_number": "307-242-1124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2710 S Rife Medical Ln",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "727581452",
            "country_code": "US",
            "telephone_number": "479-636-0200",
            "fax_number": "479-986-3448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSQUERA",
        "first_name": "ROMER",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-18",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AR",
            "license": "E-12901",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME138442",
            "primary": true
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "FL",
            "license": "ME138442",
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "FL",
            "license": "ME138442",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106208100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROMER",
            "last_name": "MOSQUERA GONZALEZ",
            "middle_name": "ISAAC",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.