Provider Demographics
NPI:1962794875
Name:TAUTHO, MARITES SOLUTA (RN)
Entity type:Individual
Prefix:MRS
First Name:MARITES
Middle Name:SOLUTA
Last Name:TAUTHO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 E BUSINESS 83
Mailing Address - Street 2:
Mailing Address - City:ALAMO
Mailing Address - State:TX
Mailing Address - Zip Code:78516-2559
Mailing Address - Country:US
Mailing Address - Phone:956-702-2255
Mailing Address - Fax:956-702-2255
Practice Address - Street 1:370 E BOWIE AVE
Practice Address - Street 2:
Practice Address - City:ALAMO
Practice Address - State:TX
Practice Address - Zip Code:78516-5519
Practice Address - Country:US
Practice Address - Phone:956-874-4633
Practice Address - Fax:956-223-4363
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-10
Last Update Date:2011-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX758024163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse