MEDICARE: DR. ANNETTE SOLER D.D.S

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	1907	PR

General Provider Information

NPI Number	:	1013917947
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNETTE SOLER D.D.S

Provider Business Mailing Address
First Line	:	RA12 VIA DEL RIO
Second Line	:	ENCANTADA
City	:	TRUJILLO ALTO
State	:	PR
Zip	:	00976-6021
Country	:	US
Telephone Number	:	787-761-4845
Fax Number	:	787-755-2222

Provider Business Practice Location Address
First Line	:	A-4 ST ANISETO DIAZ
Second Line	:	GOLDEN HILLS
City	:	TRUJILLO ALTO
State	:	PR
Zip	:	00976-0000
Country	:	US
Telephone Number	:	787-761-4848
Fax Number	:	787-755-2222

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2005
Last Update Date	:	07/08/2007

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