Department File Number : | M201988812 |
Claim Number : | 2018662404 |
Date Submitted : | 5/17/2019 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
DOCTORS PROFESSIONAL LIABILITY RISK RETENTION GROUP, INC. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
81-0934796 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Joyce | M | Kurtzke | ||
Street Address | |||||
300 Broadhollow Road, Suite 215W | |||||
City | State | Zip | |||
Melville | NY | 11747 | |||
Phone | Ext | Fax | E-Mail Address | ||
(631) 768 - 1175 | 1175 | (631) 768 - 1281 | joyce.kurtzke@sedgwickcms.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Gonzalo | Mosquera | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 500 Vonderburg Drive | ||||
City | State | Zip Code | County | ||
Brandon | FL | 33511 | Hillsborough | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
INSDP-6102-1633-R | $125,000 | $250,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME71342 | Internal Medicine - Minor Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Orange | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Physician's Office | |||||
Name of Institution | Code | ||||
N/A | 000000 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Operating Suite | |||||
Date of Occurrence | Date Reported to Insurer | ||||
6/17/2017 | 11/15/2018 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
I spoke with Dr. Mosquera earlier this week. He advised me that suit arises from a liposuction procedure which he performed on the plaintiff on 6/17/2017. The procedure was performed by him at the My Cosmetic Surgery clinic in Miami, location 7360 SW 24th Street in Miami. Dr. Mosquera has surgical privileges there and his relationship with the facility is on an independent contractor basis. Plaintiff developed skin necrosis 24-48 hours after the procedure. Dr. Mosquera advised me that he has records which plaintiff's counsel provided to him. | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
I spoke with Dr. Mosquera earlier this week. He advised me that suit arises from a liposuction procedure which he performed on the plaintiff on 6/17/2017. The procedure was performed by him at the My Cosmetic Surgery clinic in Miami, location 7360 SW 24th Street in Miami. Dr. Mosquera has surgical privileges there and his relationship with the facility is on an independent contractor basis. Plaintiff developed skin necrosis 24-48 hours after the procedure. Dr. Mosquera advised me that he has records which plaintiff's counsel provided to him. | |||||
Diagnostic Code : | S31.109A | ||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
No misdiagnosis | |||||
Principal Injury Giving Rise To The Claim | |||||
Alleged failure to insert cannulas sufficiently deep within patient's abdomen during liposuction, resulting in compromised blood flow and leading to skin necrosis. | |||||
Severity Of Injury | |||||
Temporary: Major - Burns, surgical material left, drug side effect, brain damage. Recovery delayed. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
2/27/2019 | 2018-031478CA01 | ||||
County Suit Filed in | Date of Final Disposition | ||||
Dade | 2/27/2019 | ||||
Other Defendants Involved in this Claim | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
Settlement Reached Prior to Pre-Suit Period | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
1/29/2019 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $247,500 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $0 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
NA |
Updates | |
No updates found. |
Does Dr. GONZALO MOSQUERA, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. GONZALO MOSQUERA, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).