Active NPI
Heriberto Solis, M.D.
- Family Medicine Physician
- Toa Baja, PR
National Provider Identifier
1124112289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 11093
- Practice address
- 15 Ave Luis Munoz Rivera
Toa Baja, PR 00949-2449 - Phone
- (787) 794-1305
- Fax
- (787) 794-1305
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 11093 | PR | Primary |
Addresses
Primary practice location
15 Ave Luis Munoz Rivera
Toa Baja, PR 00949-2449
Mailing address
PO Box 2545
Toa Baja, PR 00951-2545
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2016660 | Other | PR | PREFERRED |
| 50077E | Other | PR | MEDICARE Y MUCHO MAS |
| 6460035 | Other | PR | HUMANA |
| 065402 | Other | PR | LA CRUZ AZUL |
| 119-11093 | Other | PR | GLOBAL HEALTH PLAN |
| 2096 | Other | PR | AMERICAN HEALTH |
| 83357 | Medicaid | PR | |
| 1046 | Other | PR | FIRST MEDICAL/FIRST PLUS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110608000267 | PR | Practitioner - General Practice | 5698952281 | Practice locations: Toa Baja, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124112289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2545",
"city": "TOA BAJA",
"state": "PR",
"postal_code": "009512545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 AVE LUIS MUNOZ RIVERA",
"city": "TOA BAJA",
"state": "PR",
"postal_code": "009492449",
"telephone_number": "787-794-1305",
"fax_number": "787-794-1305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLIS",
"first_name": "HERIBERTO",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PR",
"license": "11093",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED",
"identifier": "2016660",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE Y MUCHO MAS",
"identifier": "50077E",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "6460035",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LA CRUZ AZUL",
"identifier": "065402",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GLOBAL HEALTH PLAN",
"identifier": "119-11093",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN HEALTH",
"identifier": "2096",
"state": "PR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "83357",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST MEDICAL/FIRST PLUS",
"identifier": "1046",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Toa Baja, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.