Individual provider Active NPI

Jose Guadalupe Sosa Jr., FNP-C

  • Family Nurse Practitioner
  • Brownsville, TX
National Provider Identifier
1740694355
Registry record updated Jun 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP125792 Issued in TX
Practice address
1040 W Jefferson St
Brownsville, TX 78520-6338
Phone
(956) 698-5595
NPI assigned
Jun 12, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP125792 TX Primary

Addresses

Primary practice location

1040 W Jefferson St
Brownsville, TX 78520-6338

Mailing address

11125 Arkansas Ave
Brownsville, TX 78521-9389
Phone (956) 554-7417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141125001690 TX Practitioner - Nurse Practitioner 3577885714 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP125792TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Urgent Care of Brownsville, LLC CurrentSince Mar 23, 2020 Accepting new patients
Palm Valley Emergency Physician, Specialist PLLC Family Past Accepting new patients

Locations

1460 N Expressway
Ste A
Brownsville, TX 78521
Phone (956) 405-3770

1416 E Expressway 83
Weslaco, TX 78596
Phone (956) 351-5831

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402531200000",
    "number": "1740694355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11125 ARKANSAS AVE",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785219389",
            "telephone_number": "956-554-7417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 W JEFFERSON ST",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785206338",
            "telephone_number": "956-698-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOSA",
        "first_name": "JOSE",
        "middle_name": "GUADALUPE",
        "name_suffix": "Jr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-12",
        "last_updated": "2014-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP125792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

Verify at the official NPI Registry.