Jorge Gilete Sosa, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ACN204 Issued in FL

Practice address

1801 N Temple Ave
Starke, FL 32091-1960

Phone

(904) 964-7732

Fax

(904) 964-3024

NPI assigned

Jul 3, 2007

Sex

Male

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lba Medical Services Inc

  • General Practice Physician
  • San Juan, PR
  • NPI 1144224874

  General Practice

  NPD (past)
• Prestige Medical Group Ljcpsc

  • Anesthesiology Physician
  • San Juan, PR
  • NPI 1437332624
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 22, 2010.

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292976000000",
    "number": "1447458229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 N TEMPLE AVE",
            "city": "STARKE",
            "state": "FL",
            "postal_code": "320911960",
            "telephone_number": "904-964-7732",
            "fax_number": "904-964-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N TEMPLE AVE",
            "city": "STARKE",
            "state": "FL",
            "postal_code": "320911960",
            "telephone_number": "904-964-7732",
            "fax_number": "904-964-3024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILETE SOSA",
        "first_name": "JORGE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2010-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "014356",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279149800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dorothy Fox, RPH
• Charles James Franson Jr., D.O.
• Tiffany Jade Harris Fraser, PHARMD
• Amanda Futch, LCSW
• Gainesville Emergency Medical Associates PA
• Michael Clay Gilhooly, ARNP
• Junita Golden
• Jeremy Goodrich, RN
• Valeria Gorden
• Tenika Gray

• All providers in Starke, FL
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; 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.