Active NPI
Carlos A Sosa, MD
- General Practice Physician
- Guaynabo, PR
National Provider Identifier
1013005974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 16616
- Practice address
- Condominio Torre Los Frailes 2080
Carr 8177 Apt 3H
Guaynabo, PR 00966 - Phone
- (787) 720-0627
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 16616 | PR | Primary |
Addresses
Primary practice location
Condominio Torre Los Frailes 2080
Carr 8177 Apt 3H
Guaynabo, PR 00966
Mailing address
PMB 75 PO Box 70344
San Juan, PR 00936
Phone (787) 720-0627
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061207000119 | PR | Practitioner - General Practice | 2961401690 | Practice locations: Adjuntas, PR; Patillas, PR; San Juan, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013005974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PMB 75 PO BOX 70344",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00936",
"telephone_number": "787-720-0627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CONDOMINIO TORRE LOS FRAILES 2080",
"address_2": "CARR 8177 APT 3H",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00966",
"telephone_number": "787-720-0627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOSA",
"first_name": "CARLOS",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "16616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Guaynabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.