Healthcare Provider Details

I. General information

NPI: 1043345929
Provider Name (Legal Business Name): HIRAM RAFAEL SOLER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

735 AVE PONCE DE LEON TOEER DEL AUXILIO SUITE 709
SAN JUAN PR
00917-5022
US

IV. Provider business mailing address

PO BOX 11556
SAN JUAN PR
00922-1556
US

V. Phone/Fax

Practice location:
  • Phone: 787-296-0540
  • Fax: 787-296-0544
Mailing address:
  • Phone: 787-296-0540
  • Fax: 787-296-0544

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0105X
TaxonomySurgery of the Hand (Surgery) Physician
License Number10983
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: