Individual
GODYS SOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
330 AVE LOS DOMINICOS # URB, AVE LOS DOMINICOS BLOQUE # 8, BAYAMON, PR 00957-6707
(787) 799-4116
(787) 730-1403
Mailing address
HC 1 BOX 5147, CANOVANAS, PR 00729-9745
(787) 799-4116
(787) 730-1403
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2435
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TRIPLE S
TRIPLES
PR
Enumeration date
11/11/2005
Last updated
05/08/2008
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