Healthcare Provider Details

I. General information

NPI: 1619443652
Provider Name (Legal Business Name): BEATRIZ SOLIS CARTER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2018
Last Update Date: 02/20/2025
Certification Date: 02/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2695 S 4TH ST
EL CENTRO CA
92243-6012
US

IV. Provider business mailing address

903 FIELDVIEW AVE
EL CENTRO CA
92243-9116
US

V. Phone/Fax

Practice location:
  • Phone: 442-265-7650
  • Fax:
Mailing address:
  • Phone: 760-209-4183
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: