Provider Demographics
NPI:1053334946
Name:SOLER, JOSEPH J JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:J
Last Name:SOLER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 460723
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80046-0723
Mailing Address - Country:US
Mailing Address - Phone:303-344-8700
Mailing Address - Fax:
Practice Address - Street 1:4809 ARGONNE ST
Practice Address - Street 2:SUITE #100
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80249-6834
Practice Address - Country:US
Practice Address - Phone:303-344-8700
Practice Address - Fax:303-344-0200
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO23412207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01234129Medicaid
COC811359Medicare PIN
F30287Medicare UPIN