Provider Demographics
NPI:1629882329
Name:SOLIS, YASMIN VALENTINA
Entity type:Individual
Prefix:
First Name:YASMIN
Middle Name:VALENTINA
Last Name:SOLIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1460 NW 107TH AVE STE 27
Mailing Address - Street 2:
Mailing Address - City:SWEETWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33172-2740
Mailing Address - Country:US
Mailing Address - Phone:305-293-8111
Mailing Address - Fax:305-705-5551
Practice Address - Street 1:1460 NW 107TH AVE STE 27
Practice Address - Street 2:
Practice Address - City:SWEETWATER
Practice Address - State:FL
Practice Address - Zip Code:33172-2740
Practice Address - Country:US
Practice Address - Phone:305-293-1111
Practice Address - Fax:305-705-5551
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty