Provider Demographics
NPI:1134176001
Name:SOLANO, LAURA V
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:V
Last Name:SOLANO
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:LAURA
Other - Middle Name:V
Other - Last Name:SOLANO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:872 CALLE RAVEL
Mailing Address - Street 2:REPARTO SEVILLA
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924-3050
Mailing Address - Country:US
Mailing Address - Phone:787-752-9200
Mailing Address - Fax:
Practice Address - Street 1:872 CALLE RAVEL
Practice Address - Street 2:REPARTO SEVILLA
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00924-3050
Practice Address - Country:US
Practice Address - Phone:787-752-9200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2010-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRPR491152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist