Individual
DAMIAN MATEO SOLANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
8380 CERRILLOS RD STE 300, SANTA FE, NM 87507-4418
(505) 375-8955
(505) 404-0795
Mailing address
8801 HORIZON BLVD NE STE 360, ALBUQUERQUE, NM 87113-1563
(505) 828-4923
(505) 213-0103
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT727
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2E5216
MEDICARE PTAN
NM
05
—
48381268
—
NM
Enumeration date
04/14/2021
Last updated
10/22/2024
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