Provider Demographics
NPI:1851720700
Name:SOLIS, LUIS FELIPE (CRNA)
Entity Type:Individual
Prefix:MR
First Name:LUIS
Middle Name:FELIPE
Last Name:SOLIS
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Gender:M
Credentials:CRNA
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Mailing Address - Street 1:99 EAST RIVER DR 5TH FLOOR
Mailing Address - Street 2:MEDICAL ANESTHESIOLOGY ASSOCIATES PC
Mailing Address - City:EAST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06108-7301
Mailing Address - Country:US
Mailing Address - Phone:860-282-4133
Mailing Address - Fax:860-289-0746
Practice Address - Street 1:2 TRAP FALLS RD
Practice Address - Street 2:SUITE 414
Practice Address - City:SHELTON
Practice Address - State:CT
Practice Address - Zip Code:06484-7623
Practice Address - Country:US
Practice Address - Phone:203-929-7353
Practice Address - Fax:203-929-0756
Is Sole Proprietor?:No
Enumeration Date:2013-11-01
Last Update Date:2014-09-05
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Provider Licenses
StateLicense IDTaxonomies
CT081976164W00000X
CT5632367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No164W00000XNursing Service ProvidersLicensed Practical Nurse