MEDICARE: MR. CLAUDIO RENATO SOLORZANO RN

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	163WA2000X	Administrator Registered Nurse	683970	TX

General Provider Information

NPI Number	:	1700611936
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CLAUDIO RENATO SOLORZANO RN

Provider Business Mailing Address
First Line	:	9615 AVIARA GDNS
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78251-5024
Country	:	US
Telephone Number	:	210-577-5355
Fax Number	:

Provider Business Practice Location Address
First Line	:	9615 AVIARA GDNS
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78251-5024
Country	:	US
Telephone Number	:	210-577-5355
Fax Number	:

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

Provider Enumeration Date	:	09/06/2024
Last Update Date	:	09/06/2024

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