Provider Demographics
NPI:1083225692
Name:SOLER, DIANA MARIA (CPM)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:MARIA
Last Name:SOLER
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 CALLE LOGRONO
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727-1424
Mailing Address - Country:US
Mailing Address - Phone:787-300-1498
Mailing Address - Fax:
Practice Address - Street 1:520 CALLE LOGRONO
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00727-1424
Practice Address - Country:US
Practice Address - Phone:787-300-1498
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-17
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12080034176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife