Provider Demographics
NPI:1154936060
Name:SOLER OLIVERA, LILIANA NANCY
Entity type:Individual
Prefix:
First Name:LILIANA
Middle Name:NANCY
Last Name:SOLER OLIVERA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LILIANA
Other - Middle Name:NANCY
Other - Last Name:SOLER OLIVERA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1006 BAY DR APT 804
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33141-3767
Mailing Address - Country:US
Mailing Address - Phone:786-398-3116
Mailing Address - Fax:
Practice Address - Street 1:1006 BAY DR APT 804
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33141-3767
Practice Address - Country:US
Practice Address - Phone:786-398-3116
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-09
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty