Provider Demographics
NPI:1710344783
Name:SOLIS ARROYO, VANESSA ARGELIA (PHD)
Entity Type:Individual
Prefix:
First Name:VANESSA
Middle Name:ARGELIA
Last Name:SOLIS ARROYO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:674 CALLE OBREGON
Mailing Address - Street 2:VENUS GARDEN
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-4608
Mailing Address - Country:US
Mailing Address - Phone:787-450-7935
Mailing Address - Fax:
Practice Address - Street 1:1666 CALLE PARANA
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-3145
Practice Address - Country:US
Practice Address - Phone:787-450-7935
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-21
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3958103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling