Provider Demographics
NPI:1831922566
Name:SOLIS, ALEJANDRO STEVAN
Entity type:Individual
Prefix:
First Name:ALEJANDRO
Middle Name:STEVAN
Last Name:SOLIS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8400 SILVERADO AVE SW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87121-5800
Mailing Address - Country:US
Mailing Address - Phone:505-903-1717
Mailing Address - Fax:
Practice Address - Street 1:8400 SILVERADO AVE SW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87121-5800
Practice Address - Country:US
Practice Address - Phone:505-903-1717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-20
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician