Healthcare Provider Details

I. General information

NPI: 1487018321
Provider Name (Legal Business Name): MARGARITA JURADO SOLIS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2016
Last Update Date: 06/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 ALBERTA AVE
EL PASO TX
79905-2709
US

IV. Provider business mailing address

4800 ALBERTA AVE
EL PASO TX
79905-2709
US

V. Phone/Fax

Practice location:
  • Phone: 915-215-8000
  • Fax:
Mailing address:
  • Phone: 915-229-1212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD2019-0188
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: