Provider Demographics
NPI:1780978346
Name:BUENO-ORENGO, SOLALBA
Entity type:Individual
Prefix:
First Name:SOLALBA
Middle Name:
Last Name:BUENO-ORENGO
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 1:478 CAMINO DE LA VEGA
Mailing Address - Street 2:
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-3639
Mailing Address - Country:US
Mailing Address - Phone:787-314-1909
Mailing Address - Fax:
Practice Address - Street 1:478 CAMINO DE LA VEGA
Practice Address - Street 2:
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646-3639
Practice Address - Country:US
Practice Address - Phone:787-314-1909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-01
Last Update Date:2017-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR19067207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology