Healthcare Provider Details

I. General information

NPI: 1295466514
Provider Name (Legal Business Name): RAFAEL SOLANO GARCIA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2022
Last Update Date: 09/08/2023
Certification Date: 09/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

EXT. O'NEILL DD 67 CALLE E 1
MANATI PR
00674
US

IV. Provider business mailing address

EXT. O'NEILL DD 67 CALLE E 1
MANATI PR
00674
US

V. Phone/Fax

Practice location:
  • Phone: 915-309-4386
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number16089-I
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number23491
License Number StatePR

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: