MR. ENRIQUE LOPEZ-MOSCOSO (MD) – Internal Medicine Physician, NPI 1629086947

MR. ENRIQUE LOPEZ-MOSCOSO (MD) is a healthcare provider. based in Miami, Florida. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. ME37569 (FL). The NPI Number for MR. ENRIQUE LOPEZ-MOSCOSO (MD) is 1629086947

Main info

Male
54 Years Of Experience
Accepts Medicare Assignment
Name
MR. ENRIQUE LOPEZ-MOSCOSO (MD)
NPI
1629086947
Phone
(844) 630-0700
Address
6101 BLUE LAGOON DR STE 400
Enumeration Date
3 August 2006
Last Update Date
29 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5612721618
Graduation Year
1972 (54 years ago)
PAC ID
3375528714
Group Practice PAC ID
9739265141
Professional Enrollment ID
I20040621001247

Contacts

Secure Messaging
enrique.lopezmoscoso@conviva.eclinicaldirectplus.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

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Provider Addresses for MR. ENRIQUE LOPEZ-MOSCOSO (MD)

  • Blue Lagoon Drive, Miami-Dade County, Florida, 33126, United States

    MIAMI, FL 331262051

    Phone: (844) 630-0700

    Fax: (305) 500-2155

    Type: Mailing

  • SMDigital Partners, 601, North Congress Avenue, Delray Shores, Delray Beach, Palm Beach County, Florida, 33445, United States

    SUITE 403

    DELRAY BEACH, FL 33445

    Phone: (561) 272-1618

    Fax: (561) 272-2800

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $1,903.

Total Amount is formed as General ($1,903) + Research ($0) + Ownership ($0) = $1,903.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Elutia, Inc. ($1,055).

Total Amount

$1,903

General + Research + Ownership

Payments

23

Total payment records

General Amount

$1,903

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Elutia, Inc.$1,055
Aziyo Biologics, Inc.$848
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-06-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040621001247IInternal MedicineFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33126)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9739265141View full group profile

Reviews

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Frequently asked questions

Does MR. ENRIQUE LOPEZ-MOSCOSO (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MR. ENRIQUE LOPEZ-MOSCOSO (MD) uses 1629086947.
Does CMS list MR. ENRIQUE LOPEZ-MOSCOSO (MD) as active?
Yes — MR. ENRIQUE LOPEZ-MOSCOSO (MD) is active in the NPI listing used on this page.
What is MR. ENRIQUE LOPEZ-MOSCOSO (MD)'s primary classification?
Internal Medicine Physician is the headline specialty for MR. ENRIQUE LOPEZ-MOSCOSO (MD) here. Clinical services aligned with this taxonomy classification.
Where should I expect MR. ENRIQUE LOPEZ-MOSCOSO (MD) on a map?
Expect Miami, Florida as a primary anchor for MR. ENRIQUE LOPEZ-MOSCOSO (MD) unless the record lists multiple sites.
Is the information about MR. ENRIQUE LOPEZ-MOSCOSO (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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