Provider Demographics
NPI:1871159178
Name:SOLER LUNA, CAROL CELESTE (MD)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:CELESTE
Last Name:SOLER LUNA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5501 S MCCOLL RD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-5503
Mailing Address - Country:US
Mailing Address - Phone:956-362-3553
Mailing Address - Fax:
Practice Address - Street 1:5501 S MCCOLL RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-5503
Practice Address - Country:US
Practice Address - Phone:956-362-3553
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-13
Last Update Date:2024-01-16
Deactivation Date:2020-01-13
Deactivation Code:
Reactivation Date:2020-02-05
Provider Licenses
StateLicense IDTaxonomies
FLME154266207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine