Healthcare Provider Details

I. General information

NPI: 1770018194
Provider Name (Legal Business Name): SARINA SOLORZANO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2017
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 SW 36TH ST
SAN ANTONIO TX
78237-3360
US

IV. Provider business mailing address

2121 SW 36TH ST
SAN ANTONIO TX
78237-3360
US

V. Phone/Fax

Practice location:
  • Phone: 210-358-5100
  • Fax: 210-358-5157
Mailing address:
  • Phone: 210-358-5100
  • Fax: 210-358-5129

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberS6052
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: