Provider Demographics
NPI:1053010645
Name:SILVERIO SOLIS, VENTURA (ARNP)
Entity type:Individual
Prefix:
First Name:VENTURA
Middle Name:
Last Name:SILVERIO SOLIS
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4810 NW 79TH AVE
Mailing Address - Street 2:APT 107
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-5418
Mailing Address - Country:US
Mailing Address - Phone:786-626-4081
Mailing Address - Fax:
Practice Address - Street 1:777 E 25TH ST
Practice Address - Street 2:SUITE #516
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33013-3834
Practice Address - Country:US
Practice Address - Phone:305-889-6670
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-02
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11024206363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily