Healthcare Provider Details

I. General information

NPI: 1063763175
Provider Name (Legal Business Name): MARGARITA SOL R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2012
Last Update Date: 09/28/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8210 COLONIAL LN
SILVER SPRING MD
20910-5721
US

IV. Provider business mailing address

8018 GLENSIDE DR
TAKOMA PARK MD
20912-7327
US

V. Phone/Fax

Practice location:
  • Phone: 301-585-1250
  • Fax: 301-585-6289
Mailing address:
  • Phone: 301-431-1825
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR111741
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: