Mara Itzel Soto Gonzalez, LCDA

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4226 Issued in PR

Practice address

Carr #2 KM 122.5
Bo. Caimital Alto
Aguadilla, PR 00603

Phone

(939) 313-0343

NPI assigned

Jul 29, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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 de Integracion Desarrollo Y Ayuda Al Nino Adulto E Infante LLC

  • Hearing and Speech Clinic/Center
  • Aguadilla, PR
  • NPI 1114647849
  NPD

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1730815986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3623 AVE. MILITAR",
            "address_2": "SUITE 101 PMB 311",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "00662",
            "telephone_number": "939-313-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR #2 KM 122.5",
            "address_2": "BO. CAIMITAL ALTO",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "939-313-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO GONZALEZ",
        "first_name": "MARA",
        "middle_name": "ITZEL",
        "name_prefix": "Mrs.",
        "credential": "LCDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-29",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "4226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Limarys Solano Morales, MD
• Marieliz Soto Barreto, PHARM D
• Tasha Marie Soto Colon, MD
• Aileen Soto Concepcion, BSN
• Edwin D Soto Gonzalez, MD
• Elvin Soto Hernandez, M.D.
• Melvin Soto-Cervantes, M.D.
• Edwin Y Soto, MD
• Efrain Soto
• Felipe Jose Soto, MD

• Speech-Language Pathologist in Aguadilla, PR
• Providers in Aguadilla, PR by specialty
• Speech-Language Pathologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; 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.