MEDICARE: MR. RAUL M MOSQUEIRA SR. MA 77299, PTA 30010

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	MA7299	FL
2	225200000X	Physical Therapy Assistant	PTA30010	FL

General Provider Information

NPI Number	:	1124575758
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RAUL M MOSQUEIRA SR. MA 77299, PTA 30010

Provider Business Mailing Address
First Line	:	2575 SW 27TH AVE
Second Line	:	108
City	:	MIAMI
State	:	FL
Zip	:	33133-2160
Country	:	US
Telephone Number	:	786-587-4481
Fax Number	:

Provider Business Practice Location Address
First Line	:	2911 BRIDGEPORT AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33133-3607
Country	:	US
Telephone Number	:	786-587-4481
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/01/2016
Last Update Date	:	03/05/2020

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141

1023630894 — SUMMER SOLSTICE 2006 LLC
Practice Location Address:

2911 BRIDGEPORT AVE
COCONUT GROVE, FL
33133-3607

Practice Phone: 305-305-0396
Practice Fax:

1659504199 — SELECT MEDICAL CLINIC, INC
Practice Location Address:

16601 NE 6TH AVE
NORTH MIAMI BEACH, FL
33162-3607

Practice Phone: 305-956-2707
Practice Fax: 305-956-9079

1629473673 — CARMELO MADDY
Practice Location Address:

16601 NE 6TH AVE
MIAMI, FL
33162-3607

Practice Phone: 305-956-2707
Practice Fax: 305-956-9079

1891184719 — ROSE MYRNA AUGUSTIN
Practice Location Address:

16601 NE 6TH AVE
MIAMI, FL
33162-3607

Practice Phone: 786-554-2891
Practice Fax:

1306412887 — KRISELLE HADAD
Practice Location Address:

475 BRICKELL AVE APT 3607
MIAMI, FL
33131-2702

Practice Phone: 786-246-9258
Practice Fax:

Directions to “ MR. RAUL M MOSQUEIRA SR. MA 77299, PTA 30010” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.