Basic Information
Provider Information
NPI: 1114582459
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SOLIS ALVAREZ
FirstName: REINA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
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OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8201 NW 162ND ST
Address2:  
City: MIAMI LAKES
State: FL
PostalCode: 330168509
CountryCode: US
TelephoneNumber: 3053642107
FaxNumber:  
Practice Location
Address1: 2001 W 68TH ST STE 202
Address2:  
City: HIALEAH
State: FL
PostalCode: 330161801
CountryCode: US
TelephoneNumber: 3053642107
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/02/2019
LastUpdateDate: 07/27/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/27/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XME152214FLY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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