Individual provider Active NPI

Miguel Angel Solis Jr., M.D.

  • Sports Medicine (Family Medicine) Physician
  • Laredo, TX
National Provider Identifier
1689865859
Registry record updated Sep 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
M7646 Issued in TX
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

Updated by the provider on Sep 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8AK401OtherTXBCBS
188724201MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071116000305 TX Practitioner - Family PracticePractitioner - Sports Medicine 3779671250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laredo Sports Medicine Clinic PAGroup PAC ID 4183719321, 9 clinicians

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 Hospital, Laredo, TX, CCN 450643

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M7646TXMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Laredo Sports Medicine Clinic, PA Family Medicine CurrentSince Jul 1, 2009 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

  • Direct secure messaging: miguel.solis.jr.1@28730.direct.athenahealth.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.