MEDICARE: DR. JAY RICHARD SOLORIO M.D.

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	207X00000X	Orthopaedic Surgery Physician	13433	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	051092359	OTHER	AL	HARTSELLE OFFICE BCBS #
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	051060664	OTHER	AL	DECATUR OFFICE BCBS #
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588667513
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAY RICHARD SOLORIO M.D.

Provider Business Mailing Address
First Line	:	PO BOX 5776
Second Line	:
City	:	DECATUR
State	:	AL
Zip	:	35601-0776
Country	:	US
Telephone Number	:	256-353-8811
Fax Number	:	256-301-6196

Provider Business Practice Location Address
First Line	:	2828 HIGHWAY 31 S
Second Line	:	STE 112
City	:	DECATUR
State	:	AL
Zip	:	35603-1538
Country	:	US
Telephone Number	:	256-353-8811
Fax Number	:	256-301-6196

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

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	04/10/2008

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Directions to “ DR. JAY RICHARD SOLORIO M.D.” Practice Location

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