Individual provider Active NPI

Mayra Luz Soto-Goitia, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Hato Rey, PR
National Provider Identifier
1851386338
Registry record updated Nov 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
15567 Issued in PR
Practice address
Calle Cesar Gonzalez #462
Urb Roosevelt
Hato Rey, PR 00961
Phone
(787) 281-2255
Fax
(787) 753-0309
NPI assigned
Sep 12, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 15567 PR Primary

Addresses

Primary practice location

Calle Cesar Gonzalez #462
Urb Roosevelt
Hato Rey, PR 00961

Mailing address

53-11 Calle 48
Bayamon, PR 00961-4423
Phone (787) 281-2255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050701000362 PR Practitioner - Family PracticePractitioner - Geriatric Medicine 6507802394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
University Central del Caribe Escuela de Medicina, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiotherapy Rehabilitation Services IncGroup PAC ID 0345406187, shared by 2 NPIs, 51 clinicians

Practice addresses (Care Compare)

1600 Calle Rodano
San Juan, PR 00926

530 Calle Juan a Davila
San Juan, PR 00918-2750
Phone (787) 281-2255

Calle Rodano
1600 Urb El Paraiso
San Juan, PR 00926-2935

Uu43 Calle
Suite 30
Bayamon, PR 00956-4701
Phone (787) 787-8669

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sanus Corp Geriatric Medicine CurrentSince May 2, 2005 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258502400000",
    "number": "1851386338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53-11 CALLE 48",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009614423",
            "telephone_number": "787-281-2255",
            "fax_number": "787-753-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE CESAR GONZALEZ #462",
            "address_2": "URB ROOSEVELT",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-281-2255",
            "fax_number": "787-753-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO-GOITIA",
        "first_name": "MAYRA",
        "middle_name": "LUZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-12",
        "last_updated": "2009-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "PR",
            "license": "15567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hato Rey, PR

Sources for this page

Verify at the official NPI Registry.