Edwin Solis Bazan, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

10377 Issued in PR

Practice address

53 Calle Virgilio Sanchez
Arroyo, PR 00714-2641

Phone

(787) 839-1740

Fax

(787) 839-1845

NPI assigned

Nov 11, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329350400000",
    "number": "1245301365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE VIRGILIO SANCHEZ #53",
            "city": "ARROYO",
            "state": "PR",
            "postal_code": "007140415",
            "telephone_number": "787-839-1740",
            "fax_number": "787-839-1845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 CALLE VIRGILIO SANCHEZ",
            "city": "ARROYO",
            "state": "PR",
            "postal_code": "007142641",
            "telephone_number": "787-839-1740",
            "fax_number": "787-839-1845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLIS BAZAN",
        "first_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-11",
        "last_updated": "2012-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "10377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vick Mireily Sanchez Pabon
• William Alexie Sanchez
• Rafael Santiago-Borras, MD
• Jose Ramon Santiago-Torres, M.D
• Carla Joan Santiago, THERAPIST
• Luis Javier Solis Cruz, DC
• Rosalinda Solivan Mercado
• Iris Soto Ortiz, LPN
• Karen Migdalys Torres Colon, OTL
• Vivian Marie Torres Garcia

• General Practice Physician in Arroyo, PR
• Providers in Arroyo, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.

Verify at the official NPI Registry.