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Juanita H. Solis

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

266 Angela St, San Antonio, TX 78207-6907

PECOS Enrollment

This provider is enrolled in PECOS as JUANITA SOLIS.

Based on the most recent information from CMS, provider Juanita H. Solis is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 9:43 AM.

Profile Details

Provider ID
1871934976
Provider Type
Individual
Full Name
Solis, Juanita H.
Title
Mrs.
Credential
FNP

Gender
Female
Sole Proprietor
Yes
Enumeration Date
7/17/2013
Last Updated
7/17/2013

Contact Information

Practice Location

266 Angela St, San Antonio, TX 78207-6907

(210) 818-7917

Unlisted Fax

Mailing Location

266 Angela St, San Antonio, TX 78207-6907

(210) 818-7917

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 685303 Texas

Juanita H. Solis

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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