Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. DECIARA JACOME TORRES MEDEIROS DE MESQUITA MD
NPI 1417845504
Student in an Organized Health Care Education/Training Program in Miami, FL

Q: What is Deciara Jacome Torres Medeiros De Mesquita's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since June 26, 2025PECOS Enrolled

8900 N KENDALL DR, MIAMI, FL 33176(305) 348-9414 Get Directions Write a Review

NPPES record last updated: August 31, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Aug 31, 2026, Jun 26, 2025 (2 updates tracked since 2025).

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About Dr. Deciara Jacome Torres Medeiros De Mesquita Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DECIARA JACOME TORRES MEDEIROS DE MESQUITA MD (NPI 1417845504) is an individual student in an organized health care education/training program in Miami, Florida, licensed in Florida (TRN43263) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417845504

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. DECIARA JACOME TORRES MEDEIROS DE MESQUITACredential: MD

Location Address8900 N KENDALL DRMiami, FL 33176-2118

Mailing Address8900 N Kendall DrMiami, FL 33176-2118 · (305) 348-9414

Phone(305) 348-9414

Sole ProprietorYes

Enumeration DateJune 26, 2025

Last NPPES UpdateAugust 31, 20262 updates tracked since enumeration

NPPES CertifiedAugust 31, 2026

✔ NPI 1417845504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in FL · TRN43263

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

8900 N KENDALL DR, Miami, FL 33176

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Deciara Jacome Torres Medeiros De Mesquita Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GLADYS LINDA GIRON M.D.

Surgery (Surgical Oncology)