# SOLIDARITY MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962670661
- **Authorized official:** MARCOS A. AYALA (PRESIDENTE)
- **Authorized official phone:** (787) 834-6056

## Contact information

- **Practice address:** 11-A, CALLE SANTO TOMAS, MAYAGUEZ, PR 00680
- **Practice address phone:** (787) 834-6056
- **Mailing address:** 101 CALLE MENDEZ VIGO W STE 701, MAYAGUEZ, PR 00680-3889
- **Mailing address phone:** (787) 215-6056

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 02/15/2008
- **Last updated:** 09/30/2020