Provider Demographics
NPI:1386467504
Name:SOSA, JUAN JAVIER
Entity type:Individual
Prefix:
First Name:JUAN
Middle Name:JAVIER
Last Name:SOSA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 HIBISCUS LN
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34114-8107
Mailing Address - Country:US
Mailing Address - Phone:832-758-4717
Mailing Address - Fax:
Practice Address - Street 1:101 HIBISCUS LN
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34114-8107
Practice Address - Country:US
Practice Address - Phone:832-758-4717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-05
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)