Individual provider Active NPI

Debora Roman Sosa

  • General Practice Physician
  • Caguas, PR
National Provider Identifier
1215688015
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22875 Issued in PR
Practice address
Edificio Mercantil Caguax
Avenida Munoz Marin
Caguas, PR 00726-0425
Phone
(787) 746-2010
NPI assigned
Jan 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 15660-I PR
General Practice Physician 208D00000X 22875 PR Primary

Addresses

Primary practice location

Edificio Mercantil Caguax
Avenida Munoz Marin
Caguas, PR 00726-0425

Mailing address

162 Calle Duarte
San Juan, PR 00917-3513
Phone (787) 206-7713

Other practice location 1

162 Calle Duarte
San Juan, PR 00917-3513
Phone (787) 206-7713

Other names 1

  • Dr. Debora Roman Sosa Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22875PRMDGeneral Practice Physician
15660-IPRMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1215688015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 CALLE DUARTE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009173513",
            "telephone_number": "787-206-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIFICIO MERCANTIL CAGUAX",
            "address_2": "AVENIDA MUNOZ MARIN",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007260425",
            "telephone_number": "787-746-2010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "162 Calle Duarte",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009173513",
            "country_code": "US",
            "telephone_number": "787-206-7713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMAN SOSA",
        "first_name": "DEBORA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-12",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "15660-I",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORA",
            "last_name": "ROMAN SOSA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.