Healthcare Provider Details

I. General information

NPI: 1114370327
Provider Name (Legal Business Name): PIERA SOSA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2016
Last Update Date: 06/10/2025
Certification Date: 06/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 PARNASSUS AVE
SAN FRANCISCO CA
94143-2203
US

IV. Provider business mailing address

1520 DEFORD BAILEY AVE APT 116
NASHVILLE TN
37212-3050
US

V. Phone/Fax

Practice location:
  • Phone: 415-514-5575
  • Fax:
Mailing address:
  • Phone: 305-491-6335
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: