Healthcare Provider Details

I. General information

NPI: 1700126109
Provider Name (Legal Business Name): SOLUTION MEDICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2013
Last Update Date: 01/22/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 AVE SIMON MADERA
SAN JUAN PR
00924-2231
US

IV. Provider business mailing address

HACIENDA SAN JOSE VIA HERMITA STREET # 781
CAGUAS PR
00725
US

V. Phone/Fax

Practice location:
  • Phone: 787-420-4054
  • Fax: 787-653-9683
Mailing address:
  • Phone: 787-420-4054
  • Fax: 787-653-9683

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. REYNALDO PEZZOTTI
Title or Position: INCORPORADOR
Credential: M.D.
Phone: 787-420-4054