Provider Demographics
NPI:1336515196
Name:SOLIS, ROSA DE LIMA (MSN, APRN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:ROSA
Middle Name:DE LIMA
Last Name:SOLIS
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-BC
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 6139
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78502-6139
Mailing Address - Country:US
Mailing Address - Phone:956-362-2171
Mailing Address - Fax:956-362-2132
Practice Address - Street 1:5520 LEONARDO DA VINCI
Practice Address - Street 2:STE 100
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-1422
Practice Address - Country:US
Practice Address - Phone:956-362-3636
Practice Address - Fax:956-362-2699
Is Sole Proprietor?:No
Enumeration Date:2015-08-17
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP128740363LF0000X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3544882801Medicaid
TX475389YZ3UMedicare PIN