Healthcare Provider Details
I. General information
NPI: 1174006829
Provider Name (Legal Business Name): DAYANA SOLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/10/2018
Last Update Date: 09/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
URBANIZACION CATALANA EDIFICIOI COMERCIAL LOCAL 1 CALLE GEORGETTI
BARCELONETA PR
00617
US
IV. Provider business mailing address
B13 URB LAS DELICIAS
BARCELONETA PR
00617
US
V. Phone/Fax
- Phone: 787-915-3000
- Fax:
- Phone: 939-292-6141
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2355S0801X |
| Taxonomy | Speech-Language Assistant |
| License Number | 007124 |
| License Number State | PR |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: