Provider Demographics
NPI:1235882259
Name:SOLER SOLORZANO, BEATRIZ MARIA
Entity Type:Individual
Prefix:
First Name:BEATRIZ
Middle Name:MARIA
Last Name:SOLER SOLORZANO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13500 SW 88TH ST STE 285
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-1515
Mailing Address - Country:US
Mailing Address - Phone:786-409-2646
Mailing Address - Fax:
Practice Address - Street 1:13500 SWW 88 ST # 285
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-2046
Practice Address - Country:US
Practice Address - Phone:213-603-1637
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-31
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician