Individual provider Active NPI

Guadalupe Daniela Solis, PA-C

  • Physician Assistant
  • Edinburg, TX
National Provider Identifier
1821667403
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA14452 Issued in TX
Practice address
2722 W Canton Rd
Edinburg, TX 78539-6632
Phone
(956) 383-4157
NPI assigned
Jun 18, 2021
Last updated
Jun 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA14452 TX Primary

Addresses

Primary practice location

2722 W Canton Rd
Edinburg, TX 78539-6632

Mailing address

2722 W Canton Rd
Edinburg, TX 78539-6632
Phone (956) 383-4157

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210624003366 TX Practitioner - Physician Assistant 4082015268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Univeristy of Texas Rio Grande Valley Med School, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Melva Palacios, MD PAGroup PAC ID 7113962903, 5 clinicians

Practice addresses (Care Compare)

2722 W Canton Rd
Edinburg, TX 78539-6632
Phone (956) 383-4157

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1821667403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 W CANTON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785396632",
            "telephone_number": "956-383-4157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2722 W CANTON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785396632",
            "telephone_number": "956-383-4157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLIS",
        "first_name": "GUADALUPE",
        "middle_name": "DANIELA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA14452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.