Doctor Name: | CARLOS A SOSA |
NPI Number: | 1013005974 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 16616 |
Business Practice Address: | Condominio Torre Los Frailes 2080 Carr 8177 Apt 3h Guaynabo, PR - 00966 |
Business Phone Number: | 7877200627 |
Business Fax Number: | |
Mailing Address: | Pmb 75 Po Box 70344, SAN JUAN |
State: | PR |
Postal Code: | 00936 |
Phone Number: | 7877200627 |
Fax Number: | |
NPI Enumeration Date: | 10/10/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 16616 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |