MEDICARE: MRS. ADRIANA SOLTERO PSY.D

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	103TC0700X	Clinical Psychologist	5998	PR

General Provider Information

NPI Number	:	1700392610
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ADRIANA SOLTERO PSY.D

Provider Business Mailing Address
First Line	:	ARCADIA 2124 ALTO APOLO
Second Line	:
City	:	GUAYNABO
State	:	PR
Zip	:	00969
Country	:	US
Telephone Number	:	787-399-6504
Fax Number	:

Provider Business Practice Location Address
First Line	:	2124 CALLE ARCADIA
Second Line	:
City	:	GUAYNABO
State	:	PR
Zip	:	00969-4926
Country	:	US
Telephone Number	:	787-399-6504
Fax Number	:

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

Provider Enumeration Date	:	12/15/2017
Last Update Date	:	12/15/2017

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