Active NPI
Luis Alberis Garcia Sosa, SA-C
- Surgical Assistant
- Apopka, FL
National Provider Identifier
1467297572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 24-335
- Practice address
- 28 Pine Forest PL
Apopka, FL 32712-2768 - Phone
- (978) 410-0786
- NPI assigned
- Jun 28, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 24-335 | FL | Primary |
Addresses
Primary practice location
28 Pine Forest PL
Apopka, FL 32712-2768
Mailing address
28 Pine Forest PL
Apopka, FL 32712-2768
Phone (978) 410-0786
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G622-521-97-442-0 | Other | FL | DRIVER LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 24-335 | FL | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722124800000",
"number": "1467297572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 PINE FOREST PL",
"city": "APOPKA",
"state": "FL",
"postal_code": "327122768",
"telephone_number": "978-410-0786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 PINE FOREST PL",
"city": "APOPKA",
"state": "FL",
"postal_code": "327122768",
"telephone_number": "978-410-0786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA SOSA",
"first_name": "LUIS",
"middle_name": "ALBERIS",
"credential": "SA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-06-28",
"last_updated": "2024-07-28",
"certification_date": "2024-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "FL",
"license": "24-335",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER LICENSE",
"identifier": "G622-521-97-442-0",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Apopka, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.