Individual provider Active NPI

Elmo Rodriguez Sosa, M.D.

  • Independent Medical Examiner Physician
  • Carolina, PR
National Provider Identifier
1407978414
Registry record updated Sep 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Medical Examiner PhysicianTaxonomy code 202C00000X
License
8240 Issued in PR
Practice address
102 Calle Pedro Arzuaga E
Carolina, PR 00985-6132
Phone
(787) 257-3963
NPI assigned
Apr 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Medical Examiner Physician 202C00000X 8240 PR Primary

Addresses

Primary practice location

102 Calle Pedro Arzuaga E
Carolina, PR 00985-6132

Mailing address

166 Calle Niza
Ext.El Comandante
Carolina, PR 00982-3610
Phone (787) 757-6022

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110920000621 PR Practitioner - General Practice 3779754999 Practice locations: Carolina, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Calle Pedro Arzuaga 102 Este
Consultorio Medico
Carolina, PR 00985
Phone (787) 257-3963

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8240PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314835200000",
    "number": "1407978414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 CALLE NIZA",
            "address_2": "EXT.EL COMANDANTE",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009823610",
            "telephone_number": "787-757-6022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 CALLE PEDRO ARZUAGA E",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009856132",
            "telephone_number": "787-257-3963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ SOSA",
        "first_name": "ELMO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2011-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202C00000X",
            "taxonomy_group": "",
            "desc": "Independent Medical Examiner",
            "state": "PR",
            "license": "8240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.