Provider Demographics
NPI:1265958581
Name:MOSQUERA, HILDA MARISEL
Entity type:Individual
Prefix:
First Name:HILDA
Middle Name:MARISEL
Last Name:MOSQUERA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7737 N KENDALL DR APT C-310
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-7717
Mailing Address - Country:US
Mailing Address - Phone:305-303-7118
Mailing Address - Fax:
Practice Address - Street 1:7737 N KENDALL DR APT C-310
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-7717
Practice Address - Country:US
Practice Address - Phone:305-303-7118
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-17
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician