Provider Demographics
NPI:1679219604
Name:ROQUE SOLARES, MARAI (MD)
Entity type:Individual
Prefix:DR
First Name:MARAI
Middle Name:
Last Name:ROQUE SOLARES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 S MACDILL AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609-3589
Mailing Address - Country:US
Mailing Address - Phone:813-428-9930
Mailing Address - Fax:813-738-0442
Practice Address - Street 1:110 S MACDILL AVE STE 300
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-3589
Practice Address - Country:US
Practice Address - Phone:813-428-9930
Practice Address - Fax:813-738-0442
Is Sole Proprietor?:No
Enumeration Date:2022-05-11
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME171627207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine