Mariela Stacholy, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

13523 Issued in PR

Practice address

24 Calle Coronel
Isabela, PR 00662-4800

Phone

(939) 644-1122

NPI assigned

Dec 28, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Centro Pediatrico Stacholy LLC

  • Clinic/Center
  • Isabela, PR
  • NPI 1932923182
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1346306909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 CALLE CORONEL",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006624800",
            "telephone_number": "939-644-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 CALLE CORONEL",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006624800",
            "telephone_number": "939-644-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACHOLY",
        "first_name": "MARIELA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "13523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720455876",
            "state": "PR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972952760",
            "state": "PR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083828479",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julio Kike Soler-Villanueva, M.D.
• Virgen Maria Soler
• Zahira Sotelo-Acevedo
• Heimelys Soto
• Speech Therapy Care
• Star Ambulance Service Inc
• Suhmed LLC
• Super Farmacia Rebeca
• Myrna Talavera
• Huber A Tavarez Gonzalez, MD

• Pediatrics Physician in Isabela, PR
• Providers in Isabela, PR by specialty
• Pediatrics Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.