Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | 9448 | PR |
NPI | 1285798181 |
---|---|
Provider Name | Dr. Edgar A Solis |
First Address | Guaynabo, PR 00969-5315 |
Second Address | Bayamon, PR 00956 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/12/2006 |
Last Update Date | 08/07/2007 |