Individual
MR. RAUL M MOSQUEIRA SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA 77299, PTA 30010
Contact information
Practice address
2911 BRIDGEPORT AVE, MIAMI, FL 33133-3607
(786) 587-4481
Mailing address
2575 SW 27TH AVE, 108, MIAMI, FL 33133-2160
(786) 587-4481
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA30010
FL
225700000X
Massage Therapist
MA7299
FL
Other
Enumeration date
09/01/2016
Last updated
03/05/2020
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