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NPI Code Detail

MEDICARE: RENATO PEREZ SOLIS MD

MEDICARE: RENATO PEREZ SOLIS MD
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
1208D00000XGeneral Practice Physician14184-IPR
2207QA0505XAdult Medicine PhysicianACN1158FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992235881
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENATO PEREZ SOLIS MD
Provider Business Mailing Address
First Line : 34 GREENHAVEN RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14617-4416
Country : US
Telephone Number : 585-953-1278
Fax Number :
Provider Business Practice Location Address
First Line : 6607 N DALE MABRY HWY
Second Line :
City : TAMPA
State : FL
Zip : 33614-3985
Country : US
Telephone Number : 813-499-1500
Fax Number : 813-499-1499
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2017
Last Update Date : 04/11/2022

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Directions to “ RENATO PEREZ SOLIS MD” Practice Location

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