Provider Demographics
NPI:1932162476
Name:SOLIMAN PENA, VIRGINIA ESPERANZA (MD)
Entity Type:Individual
Prefix:DR
First Name:VIRGINIA
Middle Name:ESPERANZA
Last Name:SOLIMAN PENA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 98
Mailing Address - Street 2:
Mailing Address - City:RIO GRANDE
Mailing Address - State:PR
Mailing Address - Zip Code:00745-0098
Mailing Address - Country:US
Mailing Address - Phone:787-787-1422
Mailing Address - Fax:787-782-1424
Practice Address - Street 1:107 CALLE SANTA CECILIA
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00911-2202
Practice Address - Country:US
Practice Address - Phone:787-782-1422
Practice Address - Fax:787-782-1424
Is Sole Proprietor?:No
Enumeration Date:2006-04-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15431208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice