Provider Demographics
NPI:1013360833
Name:AVILES SOLIS, VICTORIA PENELOPE (DC)
Entity Type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:PENELOPE
Last Name:AVILES SOLIS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:178 SAINT GEORGE ST
Mailing Address - Street 2:
Mailing Address - City:DUXBURY
Mailing Address - State:MA
Mailing Address - Zip Code:02332-3811
Mailing Address - Country:US
Mailing Address - Phone:781-934-5114
Mailing Address - Fax:
Practice Address - Street 1:178 SAINT GEORGE ST
Practice Address - Street 2:
Practice Address - City:DUXBURY
Practice Address - State:MA
Practice Address - Zip Code:02332-3811
Practice Address - Country:US
Practice Address - Phone:781-934-5114
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-16
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3539111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor