MEDICARE: ARTURO F MOSQUERA DMD MS PA

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	8391	FL

General Provider Information

NPI Number	:	1891878948
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARTURO F MOSQUERA DMD MS PA

Provider Business Mailing Address
First Line	:	1245 SW 87 AVENUE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33174-3306
Country	:	US
Telephone Number	:	305-264-3355
Fax Number	:	305-264-3745

Provider Business Practice Location Address
First Line	:	1245 SW 87 AVENUE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33174-3306
Country	:	US
Telephone Number	:	305-264-3355
Fax Number	:	305-264-3745

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ARTURO F MOSQUERA
Credential	:	DMD MS
Telephone Number	:	305-264-3355

Provider Enumeration Date	:	10/23/2006
Last Update Date	:	08/22/2020

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