Provider Demographics
NPI:1538200084
Name:SOLIS, CARMEN ZORAIDA
Entity type:Individual
Prefix:MRS
First Name:CARMEN
Middle Name:ZORAIDA
Last Name:SOLIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:B43 CALLE 2
Mailing Address - Street 2:
Mailing Address - City:YABUCOA
Mailing Address - State:PR
Mailing Address - Zip Code:00767-3004
Mailing Address - Country:US
Mailing Address - Phone:787-486-4292
Mailing Address - Fax:
Practice Address - Street 1:52 CALLE CRISTOBAL COLON
Practice Address - Street 2:
Practice Address - City:YABUCOA
Practice Address - State:PR
Practice Address - Zip Code:00767-3340
Practice Address - Country:US
Practice Address - Phone:787-893-3590
Practice Address - Fax:787-893-3984
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator