| Mayra L Soto Goitia, Md | |
|
530 Calle Juan Davila Urb. Los Ingenieros San Juan PR 00918-2750 | |
| (787) 281-2255 | |
| Not Available |
| Full Name | Mayra L Soto Goitia, Md |
|---|---|
| Speciality | Family Medicine |
| Location | 530 Calle Juan Davila, San Juan, Puerto Rico |
| Authorized Official Name and Position | Mayra Luz Soto-goitia (PRESIDENT) |
| Authorized Official Contact | 7873786861 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mayra L Soto Goitia, Md 530 Calle Juan Davila Urb. Los Ingenieros San Juan PR 00918-2750 Ph: (787) 281-2255 | Mayra L Soto Goitia, Md 530 Calle Juan Davila Urb. Los Ingenieros San Juan PR 00918-2750 Ph: (787) 281-2255 |
| NPI Number | 1245656388 |
|---|---|
| Provider Enumeration Date | 03/13/2014 |
| Last Update Date | 03/13/2014 |
| Medicare PECOS PAC ID | 6608099171 |
|---|---|
| Medicare Enrollment ID | O20140602001684 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245656388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | 15567 (Puerto Rico) | Primary |
| Provider Name | Mayra Luz Soto-goitia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851386338 PECOS PAC ID: 6507802394 Enrollment ID: I20050701000362 |
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