Healthcare Provider Details

I. General information

NPI: 1750296471
Provider Name (Legal Business Name): SOLURA CLINICAL GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AVE LUIS MUNOZ RIVERA COND EL CENTRO 2 STE 232
SAN JUAN PR
00918
US

IV. Provider business mailing address

AVE LUIS MUNOZ RIVERA COND EL CENTRO 2 STE 232
SAN JUAN PR
00918
US

V. Phone/Fax

Practice location:
  • Phone: 939-266-5331
  • Fax:
Mailing address:
  • Phone: 939-266-5331
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State

VIII. Authorized Official

Name: MS. MARIA PAULA CARMONA
Title or Position: MANAGING MEMBER
Credential: M.S.
Phone: 939-266-5331