Provider Demographics
NPI:1043345929
Name:SOLER, HIRAM RAFAEL (MD)
Entity type:Individual
Prefix:DR
First Name:HIRAM
Middle Name:RAFAEL
Last Name:SOLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 11556
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00922-1556
Mailing Address - Country:US
Mailing Address - Phone:787-296-0540
Mailing Address - Fax:787-296-0544
Practice Address - Street 1:735 AVE PONCE DE LEON
Practice Address - Street 2:TOEER DEL AUXILIO SUITE 709
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00917-5022
Practice Address - Country:US
Practice Address - Phone:787-296-0540
Practice Address - Fax:787-296-0544
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR109832086S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the Hand
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRG46125Medicare UPIN
PR0088973Medicare ID - Type Unspecified