| Moscoso Medical Group Inc | |
|
6875 W 4th Ave Hialeah FL 33014-5337 | |
| (305) 323-8994 | |
| (305) 824-1222 |
| Full Name | Moscoso Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6875 W 4th Ave, Hialeah, Florida |
| Authorized Official Name and Position | Barbara Moscoso (PRESIDENT OWNER) |
| Authorized Official Contact | 3053238994 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Moscoso Medical Group Inc 6875 W 4th Ave Hialeah FL 33014-5337 Ph: (305) 323-8994 | Moscoso Medical Group Inc 6875 W 4th Ave Hialeah FL 33014-5337 Ph: (305) 323-8994 |
| NPI Number | 1427769868 |
|---|---|
| Provider Enumeration Date | 12/07/2022 |
| Last Update Date | 12/07/2022 |
| Medicare PECOS PAC ID | 4587034319 |
|---|---|
| Medicare Enrollment ID | O20230112000158 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427769868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Barbara Moscoso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770999286 PECOS PAC ID: 0143599571 Enrollment ID: I20230112000364 |
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