Healthcare Provider Details

I. General information

NPI: 1083225692
Provider Name (Legal Business Name): DIANA MARIA SOLER CPM, LND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2020
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1857 AVE PONCE DE LEON
SAN JUAN PR
00909-1907
US

IV. Provider business mailing address

520 CALLE LOGRONO
CAGUAS PR
00727-1424
US

V. Phone/Fax

Practice location:
  • Phone: 787-300-1498
  • Fax:
Mailing address:
  • Phone: 787-300-1498
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number12080034
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number1391
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: