Provider Demographics
NPI:1417693771
Name:SOSA, JUAN PABLO (MD)
Entity type:Individual
Prefix:MR
First Name:JUAN
Middle Name:PABLO
Last Name:SOSA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6900 N 10TH ST STE 10
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-3151
Mailing Address - Country:US
Mailing Address - Phone:956-331-8767
Mailing Address - Fax:956-540-7054
Practice Address - Street 1:6900 N 10TH ST STE 10
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-3151
Practice Address - Country:US
Practice Address - Phone:956-331-8767
Practice Address - Fax:956-540-7054
Is Sole Proprietor?:No
Enumeration Date:2022-05-10
Last Update Date:2025-07-24
Deactivation Date:2022-12-21
Deactivation Code:
Reactivation Date:2023-02-06
Provider Licenses
StateLicense IDTaxonomies
TXV3435208000000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics