Healthcare Provider Details

I. General information

NPI: 1508850975
Provider Name (Legal Business Name): JESUS SOSA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2005
Last Update Date: 03/05/2026
Certification Date: 03/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 S MAIN ST
FALL RIVER MA
02724-2855
US

IV. Provider business mailing address

851 MIDDLE ST
FALL RIVER MA
02721-1778
US

V. Phone/Fax

Practice location:
  • Phone: 508-627-2222
  • Fax: 508-672-0672
Mailing address:
  • Phone: 508-235-5229
  • Fax: 508-235-5106

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number59874
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number59874
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code2083A0300X
TaxonomyAddiction Medicine (Preventive Medicine) Physician
License Number59874
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: