NPIMap

Individual provider Active NPI

Ivan J Sosa Gonzalez, M.D.

  • Neurological Surgery Physician
  • Caguas, PR
National Provider Identifier
1982633368
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
12968 Issued in PR
Practice address
100 Ave Luis Munoz Marin
Caguas, PR 00725-6184
Phone
(787) 653-3434
Fax
(787) 961-1913
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 12968 PR Primary

Addresses

Primary practice location

100 Ave Luis Munoz Marin
Caguas, PR 00725-6184

Mailing address

PO Box 4980
Caguas, PR 00726-4980
Phone (787) 615-0686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060215000412 PR Practitioner - Neurosurgery 6305811340 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Puerto Rico School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mennonite General Hospital IncGroup PAC ID 6709843964, 47 clinicians
Hospital Menonita de CayeyGroup PAC ID 2466449657, 57 clinicians
Hospital Menonita Caguas IncGroup PAC ID 8921254780, 48 clinicians

Practice addresses (Care Compare)

Calle Jose C Vazquez
Barrio Caonillas
Aibonito, PR 00705-1379
Phone (787) 434-1700

Carretera 14 Interior
Bo Rincon
Cayey, PR 00737-2800
Phone (787) 434-1700

Salida 21 Caguas a Cidra
Urb Turabo Garden
Caguas, PR 00725-0000
Phone (787) 434-1700

Hospital & facility affiliations

  • Hospital Menonita Caguas Inc Hospital, Caguas, PR, CCN 400104
  • Hospital Menonita de Cayey Hospital, Cayey, PR, CCN 400013

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion70
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12968PRMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas CurrentSince Jul 1, 2021 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Oct 7, 2012 Accepting new patients
Hospital Menonita Caguas Inc CurrentSince Apr 1, 2024 Accepting new patients
Mennonite General Hospital Inc. CurrentSince Feb 14, 2018 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Oct 7, 2012 Accepting new patients
Hospital Menonita de Cayey CurrentSince Apr 15, 2017 Accepting new patients
Hospital Menonita Caguas Inc Neurological Surgery CurrentSince Apr 1, 2024 Accepting new patients
Mennonite General Hospital Inc Current Accepting new patients
Mennonite General Hospital Inc CurrentSince Feb 14, 2018 Accepting new patients
Hospital Menonita de Cayey Current Accepting new patients
Recinto de Ciencias Medicas Neurological Surgery CurrentSince Jul 1, 2021 Accepting new patients
Hospital Menonita Caguas Inc Past Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

Asem Centro Medico De Puerto Rico
San Juan, PR 00935

Interoperability endpoints

  • Direct secure messaging: sjcisosa@yourcarecommunity.org

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1982633368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4980",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007264980",
            "telephone_number": "787-615-0686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 AVE LUIS MUNOZ MARIN",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007256184",
            "telephone_number": "787-653-3434",
            "fax_number": "787-961-1913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOSA GONZALEZ",
        "first_name": "IVAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "PR",
            "license": "12968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.