Provider Demographics
NPI:1083225692
Name:SOLER, DIANA MARIA (CPM, LND)
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:MARIA
Last Name:SOLER
Suffix:
Gender:
Credentials:CPM, LND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 CALLE LOGRONO
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727-1424
Mailing Address - Country:US
Mailing Address - Phone:787-300-1498
Mailing Address - Fax:
Practice Address - Street 1:1857 AVE PONCE DE LEON
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00909-1907
Practice Address - Country:US
Practice Address - Phone:787-300-1498
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-17
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12080034176B00000X
PR1371133NN1002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
No176B00000XOther Service ProvidersMidwife