Doctor Name: | DR. CARLOS J SOSA RODRIGUEZ |
NPI Number: | 1124169214 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 15021 |
Business Practice Address: | Migrant Health Center, Inc Carr 119 Km 35.2 Bo Piedras Blancas San Sebastian, PR - 00685 |
Business Phone Number: | 7878961665 |
Business Fax Number: | 7878964570 |
Mailing Address: | Migrant Health Center, Inc., P O Box 7128 MAYAGUEZ |
State: | PR |
Postal Code: | 006817128 |
Phone Number: | 7878052900 |
Fax Number: | 7878341924 |
NPI Enumeration Date: | 02/09/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 15021 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |