MEDICARE: KATYHIUSKA SOLIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	4021	PR

General Provider Information

NPI Number	:	1376759472
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATYHIUSKA SOLIS

Provider Business Mailing Address
First Line	:	I 11CALLE 6
Second Line	:	PARQUE SAN MIGUEL
City	:	BAYAMON
State	:	PR
Zip	:	00959-4218
Country	:	US
Telephone Number	:	787-251-3798
Fax Number	:

Provider Business Practice Location Address
First Line	:	I11 CALLE 6
Second Line	:	PARQUE SAN MIGUEL
City	:	BAYAMON
State	:	PR
Zip	:	00959-4218
Country	:	US
Telephone Number	:	787-251-3798
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2007
Last Update Date	:	07/08/2007

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Directions to “ KATYHIUSKA SOLIS ” Practice Location

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