Provider Demographics
NPI:1891132148
Name:SOLORIO, SANDRA ROSA (MSW)
Entity Type:Individual
Prefix:MISS
First Name:SANDRA
Middle Name:ROSA
Last Name:SOLORIO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MISS
Other - First Name:SANDRA
Other - Middle Name:ROSA
Other - Last Name:SOLORIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:290 IOOF AVE
Mailing Address - Street 2:REBEKAH CHILDREN'S SERVICES
Mailing Address - City:GILROY
Mailing Address - State:CA
Mailing Address - Zip Code:95020
Mailing Address - Country:US
Mailing Address - Phone:408-846-2100
Mailing Address - Fax:408-846-4847
Practice Address - Street 1:290 IOOF AVE
Practice Address - Street 2:
Practice Address - City:GILROY
Practice Address - State:CA
Practice Address - Zip Code:95020-5204
Practice Address - Country:US
Practice Address - Phone:408-846-2100
Practice Address - Fax:408-846-4847
Is Sole Proprietor?:No
Enumeration Date:2013-05-28
Last Update Date:2013-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator