Healthcare Provider Details

I. General information

NPI: 1801511050
Provider Name (Legal Business Name): MONICA C MOSCOSO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2022
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21097 NE 27TH CT
MIAMI FL
33180-1204
US

IV. Provider business mailing address

44 S 13TH ST
PITTSBURGH PA
15203-1239
US

V. Phone/Fax

Practice location:
  • Phone: 305-932-6375
  • Fax:
Mailing address:
  • Phone: 305-898-7197
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: