NPI Code Details Logo

NPI 1790699775

NPI 1790699775 : SYSTEMATIC OPERATIONAL SERVICES ALLIANCE IN HEALTH LLC : PONCE, PR

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1790699775
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    SYSTEMATIC OPERATIONAL SERVICES ALLIANCE IN HEALTH LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/29/2026
-----------------------------------------------------
    Last Update Date     |    09/29/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1123 AVE HOSTOS 
-----------------------------------------------------
    City                 |    PONCE
-----------------------------------------------------
    State                |    PR
-----------------------------------------------------
    Zip                  |    00717-0952
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    787-832-0653
-----------------------------------------------------
    Fax                  |    787-832-0653
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    15 CALLE LUIS FELIPE DESUS 
-----------------------------------------------------
    City                 |    JUANA DIAZ
-----------------------------------------------------
    State                |    PR
-----------------------------------------------------
    Zip                  |    00795-1501
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    787-832-0653
-----------------------------------------------------
    Fax                  |    787-832-0653
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PRESIDENT
-----------------------------------------------------
    Name                 |    DR. JAVIER  SOSA SR.
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    787-832-0653
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    NULL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    261QA1903X
-----------------------------------------------------
    Taxonomy Name        |    Ambulatory Surgical Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    NULL
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    261QC1800X
-----------------------------------------------------
    Taxonomy Name        |    Corporate Health Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    NULL
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    261QE0002X
-----------------------------------------------------
    Taxonomy Name        |    Emergency Care Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    NULL
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    261QH0100X
-----------------------------------------------------
    Taxonomy Name        |    Health Service Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    NULL
-----------------------------------------------------
Taxonomy #6
-----------------------------------------------------
    Taxonomy Code        |    261QI0500X
-----------------------------------------------------
    Taxonomy Name        |    Infusion Therapy Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    NULL
-----------------------------------------------------
Taxonomy #7
-----------------------------------------------------
    Taxonomy Code        |    261QL0400X
-----------------------------------------------------
    Taxonomy Name        |    Lithotripsy Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    NULL
-----------------------------------------------------
Taxonomy #8
-----------------------------------------------------
    Taxonomy Code        |    261QM1300X
-----------------------------------------------------
    Taxonomy Name        |    Multi-Specialty Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    NULL
-----------------------------------------------------
Taxonomy #9
-----------------------------------------------------
    Taxonomy Code        |    261QP2300X
-----------------------------------------------------
    Taxonomy Name        |    Primary Care Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    NULL
-----------------------------------------------------
Taxonomy #10
-----------------------------------------------------
    Taxonomy Code        |    261QR0200X
-----------------------------------------------------
    Taxonomy Name        |    Radiology Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    NULL
-----------------------------------------------------
Taxonomy #11
-----------------------------------------------------
    Taxonomy Code        |    261QR0206X
-----------------------------------------------------
    Taxonomy Name        |    Mammography Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    NULL
-----------------------------------------------------
Taxonomy #12
-----------------------------------------------------
    Taxonomy Code        |    261QR1100X
-----------------------------------------------------
    Taxonomy Name        |    Research Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    NULL
-----------------------------------------------------
Taxonomy #13
-----------------------------------------------------
    Taxonomy Code        |    261QU0200X
-----------------------------------------------------
    Taxonomy Name        |    Urgent Care Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    NULL
-----------------------------------------------------
Taxonomy #14
-----------------------------------------------------
    Taxonomy Code        |    261QV0200X
-----------------------------------------------------
    Taxonomy Name        |    VA Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    NULL
-----------------------------------------------------
Taxonomy #15
-----------------------------------------------------
    Taxonomy Code        |    291U00000X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Medical Laboratory
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    NULL
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.