Individual provider Active NPI

Godys Sosa, ND

  • General Practice Dentistry
  • Bayamon, PR
National Provider Identifier
1427039775
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2435 Issued in PR
Practice address
330 Ave Los Dominicos # Urb
Ave Los Dominicos Bloque # 8
Bayamon, PR 00957-6707
Phone
(787) 799-4116
Fax
(787) 730-1403
NPI assigned
Nov 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2435 PR Primary

Addresses

Primary practice location

330 Ave Los Dominicos # Urb
Ave Los Dominicos Bloque # 8
Bayamon, PR 00957-6707

Mailing address

HC 1 Box 5147
Canovanas, PR 00729-9745
Phone (787) 799-4116

Other identifiers 1

IdentifierTypeStateIssuer
TRIPLE SOtherPRTRIPLES

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150804004804 PR Order and Referring Only - DentistPractitioner - Dentist 6305150350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2435PRMDClinical Child & Adolescent Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1427039775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 5147",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007299745",
            "telephone_number": "787-799-4116",
            "fax_number": "787-730-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 AVE LOS DOMINICOS # URB",
            "address_2": "AVE LOS DOMINICOS BLOQUE # 8",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009576707",
            "telephone_number": "787-799-4116",
            "fax_number": "787-730-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOSA",
        "first_name": "GODYS",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-11",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLES",
            "identifier": "TRIPLE S",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.