Healthcare Provider Details

I. General information

NPI: 1225942105
Provider Name (Legal Business Name): SYSTEMATIC OPERATIONAL SERVICES ALLIANCE IN HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1123 AVE HOSTOS
PONCE PR
00717-0952
US

IV. Provider business mailing address

15 CALLE LUIS FELIPE DESUS
JUANA DIAZ PR
00795-1501
US

V. Phone/Fax

Practice location:
  • Phone: 787-832-0653
  • Fax: 787-832-0653
Mailing address:
  • Phone: 787-832-0653
  • Fax: 787-832-0653

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. JAVIER SOSA SR.
Title or Position: DIRECTOR
Credential:
Phone: 787-832-0653