Active NPI
Miguel Angel Solis Jr., M.D.
- Sports Medicine (Family Medicine) Physician
- Laredo, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- M7646
- Practice address
- 7109 N Bartlett Ave Ste 109
Laredo, TX 78041-6473 - Phone
- (956) 727-2122
- Fax
- (956) 727-4445
- NPI assigned
- Aug 5, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | M7646 | TX | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | M7646 | TX | Primary |
Addresses
Primary practice location
7109 N Bartlett Ave Ste 109
Laredo, TX 78041-6473
Mailing address
7109 N Bartlett Ave Ste 109
Laredo, TX 78041-6473
Phone (956) 727-2122
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8AK401 | Other | TX | BCBS |
| 188724201 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7109 N Bartlett Ave
Suite 109
Laredo, TX 78041-6473
Phone (956) 727-2122
Hospital & facility affiliations
- Doctors Hospital of Laredo
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M7646 | TX | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laredo Sports Medicine Clinic, PA | Family Medicine | Current | Accepting new patients |
Locations
7109 N Bartlett Ave
Ste 109
Laredo, TX 78041
Phone (956) 727-2122
9652 McPherson Rd
Ste 12
Laredo, TX 78045
Phone (956) 727-2122
Interoperability endpoints
- miguel.solis.jr.1@28730.direct.athenahealth.com
- solis.miguel.003.0430026@lsmd.meditab.direct-ci.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Laredo, TX
- NPI 1477675163
Family Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Laredo, TX
- NPI 1396731105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599436800000",
"number": "1689865859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7109 N BARTLETT AVE STE 109",
"city": "LAREDO",
"state": "TX",
"postal_code": "780416473",
"telephone_number": "956-727-2122",
"fax_number": "956-727-4445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7109 N BARTLETT AVE STE 109",
"city": "LAREDO",
"state": "TX",
"postal_code": "780416473",
"telephone_number": "956-727-2122",
"fax_number": "956-727-4445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLIS",
"first_name": "MIGUEL",
"middle_name": "ANGEL",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-05",
"last_updated": "2020-09-07",
"certification_date": "2020-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "M7646",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "TX",
"license": "M7646",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8AK401",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "188724201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.