Provider Demographics
NPI:1568995371
Name:SOLARES CARROLL, CATHERINE MARIA (MD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:MARIA
Last Name:SOLARES CARROLL
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:50249 CESAR CHAVEZ ST STE K
Mailing Address - Street 2:
Mailing Address - City:COACHELLA
Mailing Address - State:CA
Mailing Address - Zip Code:92236-1530
Mailing Address - Country:US
Mailing Address - Phone:760-393-0555
Mailing Address - Fax:760-393-0522
Practice Address - Street 1:50249 CESAR CHAVEZ ST STE K
Practice Address - Street 2:
Practice Address - City:COACHELLA
Practice Address - State:CA
Practice Address - Zip Code:92236-1530
Practice Address - Country:US
Practice Address - Phone:760-393-0555
Practice Address - Fax:760-393-0522
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-07
Last Update Date:2020-08-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0116030392208000000X
CAA169787208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics