Provider Demographics
NPI:1972515708
Name:SOFIA VASQUEZ-SOLOMON, MD, PA
Entity Type:Organization
Organization Name:SOFIA VASQUEZ-SOLOMON, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SOFIA
Authorized Official - Middle Name:
Authorized Official - Last Name:VASQUEZ-SOLOMON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-583-8048
Mailing Address - Street 1:3200 LOS MILAGROS
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-7452
Mailing Address - Country:US
Mailing Address - Phone:956-583-8048
Mailing Address - Fax:956-583-8079
Practice Address - Street 1:1200 E RIDGE RD STE 7
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1528
Practice Address - Country:US
Practice Address - Phone:956-631-3982
Practice Address - Fax:956-631-0254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL7589207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH99563Medicare UPIN
TX8B3631Medicare ID - Type Unspecified