Provider Demographics
NPI:1396924759
Name:SOLER-BAILLO, JOSE MIGUEL II (MD, MS)
Entity type:Individual
Prefix:DR
First Name:JOSE
Middle Name:MIGUEL
Last Name:SOLER-BAILLO
Suffix:II
Gender:M
Credentials:MD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7231 SW 63RD AVE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-4809
Mailing Address - Country:US
Mailing Address - Phone:305-661-1996
Mailing Address - Fax:305-662-2204
Practice Address - Street 1:7231 SW 63RD AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-4809
Practice Address - Country:US
Practice Address - Phone:305-661-1996
Practice Address - Fax:305-662-2204
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-01
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME82645208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery