Provider Demographics
NPI:1285417972
Name:SOLERO, EDGAR
Entity type:Individual
Prefix:
First Name:EDGAR
Middle Name:
Last Name:SOLERO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB MONTE VERDE
Mailing Address - Street 2:317 CALLE MONTE ARARAT
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-5729
Mailing Address - Country:US
Mailing Address - Phone:954-937-4691
Mailing Address - Fax:
Practice Address - Street 1:CALLE HERNANDEZ CARRION CARR #2
Practice Address - Street 2:INTERCECCION 668 URB ATENAS
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674-1142
Practice Address - Country:US
Practice Address - Phone:787-621-3700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-16
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR96246163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse